PMID- 28381508 OWN - NLM STAT- MEDLINE DCOM- 20170526 LR - 20220419 IS - 1526-632X (Electronic) IS - 0028-3878 (Print) IS - 0028-3878 (Linking) VI - 88 IP - 18 DP - 2017 May 2 TI - Clinical manifestations of the anti-IgLON5 disease. PG - 1736-1743 LID - 10.1212/WNL.0000000000003887 [doi] AB - OBJECTIVE: To report the presentation, main syndromes, human leukocyte antigen (HLA) association, and immunoglobulin G (IgG) subclass in the anti-IgLON5 disease: a disorder with parasomnias, sleep apnea, and IgLON5 antibodies. METHODS: This was a retrospective clinical analysis of 22 patients. The IgG subclass was determined using reported techniques. RESULTS: Patients' median age was 64 years (range 46-83). Symptoms that led to initial consultation included sleep problems (8 patients; 36%), gait abnormalities (8; 36%), bulbar dysfunction (3; 14%), chorea (2; 9%), and cognitive decline (1; 5%). By the time of diagnosis of the disorder, 4 syndromes were identified: (1) a sleep disorder with parasomnia and sleep breathing difficulty in 8 (36%) patients; (2) a bulbar syndrome including dysphagia, sialorrhea, stridor, or acute respiratory insufficiency in 6 (27%); (3) a syndrome resembling progressive supranuclear palsy (PSP-like) in 5 (23%); and (4) cognitive decline with or without chorea in 3 (14%). All patients eventually developed parasomnia, sleep apnea, insomnia, or excessive daytime sleepiness. HLA-DRB1*10:01 and HLA-DQB1*05:01 were positive in 13/15 (87%) patients; the DRB1*10:01 allele was 36 times more prevalent than in the general population. Among 16 patients with paired serum and CSF samples, 14 had IgLON5 antibodies in both, and 2 only in serum (both had a PSP-like syndrome). Twenty of 21 patients had IgG1 and IgG4 antibodies; the latter predominated in 16. CONCLUSIONS: Patients with IgLON5 antibodies develop a characteristic sleep disorder preceded or accompanied by bulbar symptoms, gait abnormalities, oculomotor problems, and, less frequently, cognitive decline. IgG4 subclass antibodies predominate over IgG1; we confirm a strong association with the HLA-DRB1*10:01 allele. CI - (c) 2017 American Academy of Neurology. FAU - Gaig, Carles AU - Gaig C AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Graus, Francesc AU - Graus F AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. fgraus@clinic.ub.es. FAU - Compta, Yarko AU - Compta Y AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Hogl, Birgit AU - Hogl B AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Bataller, Luis AU - Bataller L AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Bruggemann, Norbert AU - Bruggemann N AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Giordana, Caroline AU - Giordana C AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Heidbreder, Anna AU - Heidbreder A AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Kotschet, Katya AU - Kotschet K AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Lewerenz, Jan AU - Lewerenz J AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Macher, Stefan AU - Macher S AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Marti, Maria J AU - Marti MJ AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Montojo, Teresa AU - Montojo T AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Perez-Perez, Jesus AU - Perez-Perez J AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Puertas, Inmaculada AU - Puertas I AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Seitz, Caspar AU - Seitz C AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Simabukuro, Mateus AU - Simabukuro M AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Tellez, Nieves AU - Tellez N AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Wandinger, Klaus-Peter AU - Wandinger KP AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Iranzo, Alex AU - Iranzo A AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Ercilla, Guadalupe AU - Ercilla G AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Sabater, Lidia AU - Sabater L AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Santamaria, Joan AU - Santamaria J AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. FAU - Dalmau, Josep AU - Dalmau J AD - From the Neuroimmunology Program (C. Gaig, F.G., A.I., L.S., J.S., J.D.), Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS); Department of Neurology (C. Gaig, F.G., Y.C., M.J.M., A.I., J.S.), Multidisciplinary Sleep Disorders Unit (C. Gaig, A.I., J.S.), Parkinson's Disease & Movement Disorders Unit (Y.C., M.J.M.), and Department of Immunology (G.E.), Hospital Clinic, Barcelona, Spain; Department of Neurology (B.H.), Medical University of Innsbruck, Austria; Department of Neurology (L.B.), Hospital Universitari i Politecnic La Fe; Centro de Investigacion Biomedica en Red de Enfermedades Raras (CIBERER) (L.B., L.S., J.D.), Valencia, Spain; Department of Neurology and Institute of Neurogenetics (N.P., K.-P.W.), University of Lubeck, Germany; Department of Movement Disorders and Neurology (C. Giordana), Centre Hospitalier Universitaire Nice, France; Department of Neurology (A.H.), Division of Sleep Medicine and Neuromuscular Disorders, University Hospital Muenster, Germany; Clinical Neurosciences (K.K.), St Vincent's Hospital, Melbourne, Australia; Department of Neurology (J.L.), Ulm University, Germany; Department of Neurology (S.M.), Medical University of Vienna, Austria; Department of Neurology (T.M.), Centre Hospitalier de Luxembourg; Department of Neurology (J.P.-P.), Hospital de la Santa Creu i Sant Pau, Barcelona; Department of Neurology (I.P.), Hospital La Paz, Madrid, Spain; Department of Neurology (C.S.), University Medical Center of the Johannes Gutenberg University Mainz, Germany; Neurology Division (M.S.), Hospital das Clinicas, Sao Paulo University, Brazil; Department of Neurology (N.T.), Hospital Clinico Universitario, Valladolid, Spain; Institute of Clinical Chemistry (K.-P.W.), University Hospital Schleswig-Holstein, Lubeck, Germany; Department of Neurology (J.D.), University of Pennsylvania, Philadelphia; and Institucio Catalana de Recerca i Estudis Avancats (ICREA) (J.D.), Barcelona, Spain. LA - eng GR - R01 NS077851/NS/NINDS NIH HHS/United States PT - Journal Article DEP - 20170405 PL - United States TA - Neurology JT - Neurology JID - 0401060 RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Carrier Proteins) RN - 0 (Cell Adhesion Molecules, Neuronal) RN - 0 (HLA-DRB1 Chains) RN - 0 (IgLON5 protein, human) RN - 0 (Immunoglobulin G) RN - 0 (prolactin-binding protein) SB - IM CIN - Neurology. 2017 May 2;88(18):1688-1690. PMID: 28381512 MH - Aged MH - Aged, 80 and over MH - Autoantibodies/metabolism MH - Autoimmune Diseases/*diagnosis/*physiopathology/therapy MH - Biomarkers/blood/cerebrospinal fluid MH - Brain/diagnostic imaging MH - Carrier Proteins/metabolism MH - Cell Adhesion Molecules, Neuronal/*immunology MH - HLA-DRB1 Chains/metabolism MH - Humans MH - Immunoglobulin G/metabolism MH - Immunotherapy MH - Middle Aged MH - Retrospective Studies MH - Sleep Wake Disorders/*diagnosis/*physiopathology/therapy PMC - PMC5409845 EDAT- 2017/04/07 06:00 MHDA- 2017/05/27 06:00 PMCR- 2018/05/02 CRDT- 2017/04/07 06:00 PHST- 2016/08/12 00:00 [received] PHST- 2017/01/17 00:00 [accepted] PHST- 2017/04/07 06:00 [pubmed] PHST- 2017/05/27 06:00 [medline] PHST- 2017/04/07 06:00 [entrez] PHST- 2018/05/02 00:00 [pmc-release] AID - WNL.0000000000003887 [pii] AID - NEUROLOGY2016763748 [pii] AID - 10.1212/WNL.0000000000003887 [doi] PST - ppublish SO - Neurology. 2017 May 2;88(18):1736-1743. doi: 10.1212/WNL.0000000000003887. Epub 2017 Apr 5.