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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Autoimmune Encephalitis Related to Cancer Treatment With Immune Checkpoint Inhibitors: A Systematic Review

Publikation: Bidrag til tidsskriftReviewForskningpeer review

  1. Enterovirus Meningitis in Adults: A Prospective Nationwide Population-Based Cohort Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Global Impact of COVID-19 on Stroke Care and IV Thrombolysis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Effect of Adrenomedullin on Migraine-like Attacks in Patients With Migraine: A Randomized Crossover Study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Pearls & Oy-sters: Eyes-Open Coma

    Publikation: Bidrag til tidsskriftLederForskningpeer review

  1. Questionnaires vs Interviews for the Assessment of Global Functional Outcomes After Traumatic Brain Injury

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Nærdødsoplevelser

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Iatrogenic cerebral radiation necrosis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

OBJECTIVE: To determine the clinical and laboratory features of immune checkpoint inhibitor (ICPI)-associated autoimmune encephalitis (ICPI-AIE), an increasingly recognized adverse event with ICPI treatment.

METHODS: We searched PubMed, The Cochrane Library, and Embase for ICPI-AIE cases from the first description in 2015 until January 2020 using standard bibliographic measures including PRISMA guidelines and preregistration with PROSPERO.

RESULTS: Thirty-nine studies met inclusion criteria, resulting in 54 patients with ICPI-AIE (mean age 58.6 years; 43% female). Common cancers included melanoma (30%) and non-small cell lung cancer (30%). Brain metastases were found in 16 patients (30%). The most frequent ICPI was nivolumab (61%). Onset of ICPI-AIE occurred after a median of 3.0 treatment cycles, but very early and late presentations were common. Nonlimbic AIE was roughly twice as frequent as limbic AIE (p < 0.05). The most common laboratory abnormalities included bitemporal fluid-attenuated inversion recovery lesions on MRI, continuous slow waves and diffuse slowing on EEG, and monocytic pleocytosis on CSF analysis. Intraneuronal antibodies were more frequent than neuronal surface antibodies and a significant predictor for lack of improvement after first-line immunotherapy (p < 0.05).

CONCLUSIONS: ICPI-AIE consists of a heterogenous group of conditions. Neurologists will likely encounter ICPI-AIE more often in the future, but important unresolved questions include the pathophysiologic mechanisms, the epidemiology, and the best treatment approaches associated with ICPI-AIE.

OriginalsprogEngelsk
TidsskriftNeurology
Vol/bind97
Udgave nummer2
Sider (fra-til)e191-e202
ISSN0028-3878
DOI
StatusUdgivet - 13 jul. 2021

ID: 67644199