Article ; Online: Patient With Rigidity and Fasciculations: Steroid-Responsive Presentation of Anti-IgLON5 Disease
2024 Volume 102, Issue 3, Page(s) e208110
Abstract: An 82-year-old man presented with 2-year lasting widespread muscular fasciculations, cramps, and limb stiffness, with spontaneous movements in the right lower limb, unsteady gait (Video 1), and falls. Neurophysiologic studies disclosed signs of ... ...
Abstract | An 82-year-old man presented with 2-year lasting widespread muscular fasciculations, cramps, and limb stiffness, with spontaneous movements in the right lower limb, unsteady gait (Video 1), and falls. Neurophysiologic studies disclosed signs of neuromuscular hyperexcitability. CSF analysis showed high tau protein concentration (543 pg/mL; reference values, <404) and unique-to-CSF oligoclonal bands. Serum and CSF anti-IgLON5 antibodies were positive (Figure 1). He carried the anti-IgLON5 disease-associated HLA-DRB1*10:01 allele. |
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MeSH term(s) | Aged, 80 and over ; Humans ; Male ; Encephalitis/drug therapy ; Fasciculation ; Hashimoto Disease ; Methylprednisolone/therapeutic use ; Parasomnias ; Sleep Apnea, Obstructive |
Chemical Substances | Methylprednisolone (X4W7ZR7023) |
Language | English |
Publishing date | 2024-01-11 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Video-Audio Media |
ZDB-ID | 207147-2 |
ISSN | 1526-632X ; 0028-3878 |
ISSN (online) | 1526-632X |
ISSN | 0028-3878 |
DOI | 10.1212/WNL.0000000000208110 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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