학술논문

Weathering the Storm: Early Intervention for GAD65 Antibody-Mediated Encephalitis with Drug-Resistant Autoimmune Epilepsy.
Document Type
Article
Source
Neuropediatrics. 2023 Supplement 1, Vol. 54, pS1-S32. 32p.
Subject
*EPILEPSY
*ENCEPHALITIS
*GLUTAMATE decarboxylase
*NEUROLOGICAL disorders
*CEREBELLAR ataxia
*GABA receptors
Language
ISSN
0174-304X
Abstract
This article, published in the journal Neuropediatrics, discusses a case study of a 12-year-old boy with drug-resistant autoimmune epilepsy caused by glutamate decarboxylase 1 (GAD65) antibodies. GAD65 antibodies are associated with autoimmune diseases and can also lead to neurological disorders such as autoimmune encephalitis and cerebellar ataxia. The patient's seizures were initially treated with medication but recurred, leading to confusion and amnesia. Aggressive immunotherapy, including intravenous methylprednisolone and immunoadsorption, along with the use of the GABA receptor modulator cenobamate, resulted in sustained resolution of symptoms. This case highlights the importance of early intervention and aggressive treatment for GAD65-mediated neurological disorders and suggests cenobamate as a promising treatment option for GAD65-associated autoimmune epilepsy. [Extracted from the article]