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Limbic Encephalitis Manifesting as Selective Amnesia and Seizure-like Activity: A Case Report

机译:表现为选择性遗忘症和癫痫样活动的肢体脑炎:一例报告

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摘要

Limbic encephalitis (LE) is characterized by short-term memory loss, disorientation, agitation, seizures, and histopathological evidence of medial temporal lobe inflammation. Leucine-rich, glioma inactivated 1 (LGI-1) is an auto-antigen associated with LE. We report a 37-year-old male patient with LGI-1-related LE who presented with recurrent episodes of selective amnesia, seizure-like activity, confusion, and personality change. His symptoms were significantly improved with steroid therapy. Thorough differential diagnosis with consideration for autoimmune encephalitis should be in patients with presentation of symptoms, such as memory impairment, personality change and seizure-like activity, especially when other neurological diagnoses are excluded.
机译:边缘性脑炎(LE)的特征是短期记忆丧失,方向障碍,躁动,癫痫发作以及颞叶内侧炎症的组织病理学证据。富含亮氨酸的神经胶质瘤灭活1(LGI-1)是与LE相关的自身抗原。我们报告了一名LGI-1相关性LE的37岁男性患者,该患者表现出反复发作的选择性健忘症,癫痫样活动,精神错乱和性格改变。类固醇疗法可明显改善他的症状。考虑到自身免疫性脑炎的彻底鉴别诊断应出现症状,例如记忆力减退,人格改变和癫痫样活动,特别是当排除其他神经系统诊断时。

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