Excellent outcome after prolonged status epilepticus due to non-paraneoplastic limbic encephalitis

Daniel Kondziella, Oluf Andersen, Fredrik Asztely, Björn Holmberg, Anders Hedström, Eva Szentgyörgyi

Abstract

Limbic encephalitis (LE) is frequently associated with malignancy. Non-paraneoplastic LE is less common and in this form, voltage-gated potassium channel (VGKC) antibodies are usually found. However in 2007 the spectrum was further extended by a report on four patients with presumed non-paraneoplastic LE in whom neither VGKC-antibodies nor other antibodies could be found (Samarasekera et al. 2007). Despite immunmodulatory treatment all these patients had severe neurological residual symptoms. Here we describe a further patient in whom extensive diagnostic procedures suggested non-paraneoplastic antibody-negative limbic encephalitis. Although this woman had prolonged status epilepticus during seven weeks, her outcome was excellent.

Original languageEnglish
JournalActa neurologica Belgica
Volume108
Issue number1
Pages (from-to)21-3
Number of pages3
ISSN0300-9009
Publication statusPublished - Mar 2008
Externally publishedYes

Keywords

  • Adult
  • Amnesia/etiology
  • Anticonvulsants/therapeutic use
  • Autoantibodies/blood
  • Autoimmune Diseases of the Nervous System/diagnosis
  • Chronic Disease
  • Diagnosis, Differential
  • Epilepsy, Temporal Lobe/etiology
  • Female
  • Hippocampus/immunology
  • Humans
  • Limbic Encephalitis/complications
  • Magnetic Resonance Imaging
  • Methylprednisolone/therapeutic use
  • Personality Disorders/etiology
  • Plasmapheresis
  • Status Epilepticus/etiology
  • Treatment Outcome

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