Autoimmune encephalitis presenting with atypical parkinsonism: A case report and review of the literature

被引:0
作者
Ono, Yoya [1 ]
Higashida, Kazuhiro [1 ]
Takekoshi, Akira [1 ]
Kimura, Akio [1 ]
Shimohata, Takayoshi [1 ,2 ]
机构
[1] Gifu Univ, Dept Neurol, Grad Sch Med, Gifu, Japan
[2] Gifu Univ, Dept Neurol, Grad Sch Med, 1-1 Yanagido, Gifu 5011194, Japan
来源
NEUROLOGY AND CLINICAL NEUROSCIENCE | 2023年 / 11卷 / 05期
关键词
autoantibody; autoimmune encephalitis; parkinsonism; progressive supranuclear palsy; rigidity; PROGRESSIVE SUPRANUCLEAR PALSY; DIAGNOSIS; DISORDER;
D O I
10.1111/ncn3.12721
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An 81-year-old man developed axial rigidity, bradykinesia, and cognitive impairment within 6 weeks. On initial examination, he was misdiagnosed with progressive supranuclear palsy (PSP). Brain magnetic resonance imaging showed hyperintensities in the bilateral mesial temporal lobes and basal ganglia. Neuronal antibodies previously reported in autoimmune encephalitis mimicking PSP were negative. Immunohistochemical and immunocytochemical analysis revealed the autoantibodies recognized neuronal surface and intracellular antigens. The diagnostic criteria for probable autoimmune encephalitis were fulfilled. We diagnosed him with autoimmune encephalitis. Intravenous immunoglobulin and steroid therapy improved his symptoms. The presence of novel autoantibodies causing autoimmune encephalitis presenting with atypical parkinsonism was suggested.
引用
收藏
页码:271 / 275
页数:5
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