PMID- 24792345 OWN - NLM STAT- MEDLINE DCOM- 20141231 LR - 20220330 IS - 1473-6551 (Electronic) IS - 1350-7540 (Print) IS - 1350-7540 (Linking) VI - 27 IP - 3 DP - 2014 Jun TI - Autoimmune encephalitis as differential diagnosis of infectious encephalitis. PG - 361-8 LID - 10.1097/WCO.0000000000000087 [doi] AB - PURPOSE OF REVIEW: This review describes the main types of autoimmune encephalitis with special emphasis on those associated with antibodies against neuronal cell surface or synaptic proteins, and the differential diagnosis with infectious encephalitis. RECENT FINDINGS: There is a continuous expansion of the number of cell surface or synaptic proteins that are targets of autoimmunity. The most recently identified include the metabotropic glutamate receptor 5 (mGluR5), dipeptidyl-peptidase-like protein-6 (DPPX), and gamma-aminobutyric acid-A receptor (GABAAR). In these and previously known types of autoimmune encephalitis [N-methyl-D-aspartate receptor (NMDAR), alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor (AMPAR), gamma-aminobutyric acid-B receptor (GABABR), leucine-rich glioma inactivated protein 1 (LGI1), contactin-associated protein-like 2 (CASPR2)], the prodromal symptoms or types of presentations often suggest a viral encephalitis. We review here clues that help in the differential diagnosis with infectious encephalitis. Moreover, recent investigations indicate that viral encephalitis (e.g., herpes simplex) can trigger synaptic autoimmunity. In all these disorders, immunotherapy is usually effective. SUMMARY: Autoimmune encephalitis comprises an expanding group of potentially treatable disorders that should be included in the differential diagnosis of any type of encephalitis. VIDEO ABSTRACT: http://links.lww.com/CONR/A25, FAU - Armangue, Thais AU - Armangue T AD - aAugust Pi i Sunyer Biomedical Research Institute (IDIBAPS), Service of Neurology, Hospital Clinic, University of Barcelona bCatalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain cDepartment of Neurology, University of Pennsylvania, Philadelphia, USA. FAU - Leypoldt, Frank AU - Leypoldt F FAU - Dalmau, Josep AU - Dalmau J LA - eng GR - R01 MH094741/MH/NIMH NIH HHS/United States GR - R01 NS077851/NS/NINDS NIH HHS/United States GR - MH094741/MH/NIMH NIH HHS/United States GR - R01NS077851/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Curr Opin Neurol JT - Current opinion in neurology JID - 9319162 RN - 0 (Autoantibodies) RN - 0 (CNTNAP2 protein, human) RN - 0 (GRM5 protein, human) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (LGI1 protein, human) RN - 0 (Membrane Proteins) RN - 0 (Nerve Tissue Proteins) RN - 0 (Potassium Channels) RN - 0 (Proteins) RN - 0 (Receptor, Metabotropic Glutamate 5) RN - 0 (Receptors, GABA-A) RN - 0 (Receptors, Glutamate) RN - 0 (alpha-amino-3-hydroxy-5-methylisoxazole-4-propionic acid subtype glutamate receptor, human) RN - EC 3.4.- (DPP6 protein, human) RN - EC 3.4.14.- (Dipeptidyl-Peptidases and Tripeptidyl-Peptidases) RN - Hashimoto's encephalitis SB - IM MH - Anti-N-Methyl-D-Aspartate Receptor Encephalitis/*diagnosis/immunology MH - Autoantibodies/immunology MH - Brain/*pathology MH - Brain Diseases/*diagnosis/immunology MH - Diagnosis, Differential MH - Dipeptidyl-Peptidases and Tripeptidyl-Peptidases/immunology MH - Encephalitis/*diagnosis/immunology MH - Encephalitis, Herpes Simplex/diagnosis/immunology MH - Hashimoto Disease/*diagnosis/immunology MH - Humans MH - Intracellular Signaling Peptides and Proteins MH - Magnetic Resonance Imaging MH - Membrane Proteins/immunology MH - Nerve Tissue Proteins/immunology MH - Potassium Channels/immunology MH - Proteins/immunology MH - Receptor, Metabotropic Glutamate 5/immunology MH - Receptors, GABA-A/immunology MH - Receptors, Glutamate/immunology MH - Tuberculosis, Central Nervous System/*diagnosis/immunology PMC - PMC4132825 MID - NIHMS611045 COIS- Conflict of interest: Dr. Dalmau hold patents for the use of Ma2 and NMDAR as autoantibody tests, and has filed patents for the use of GABA(A)R and GABA(B)R as diagnostic tests. EDAT- 2014/05/06 06:00 MHDA- 2015/01/01 06:00 PMCR- 2015/06/01 CRDT- 2014/05/06 06:00 PHST- 2014/05/06 06:00 [entrez] PHST- 2014/05/06 06:00 [pubmed] PHST- 2015/01/01 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - 00019052-201406000-00017 [pii] AID - 10.1097/WCO.0000000000000087 [doi] PST - ppublish SO - Curr Opin Neurol. 2014 Jun;27(3):361-8. doi: 10.1097/WCO.0000000000000087.