Lupus & antiphospholipid syndrome

Autoimmune encephalitis associated with anti-LGI1 antibody: a potential cause of neuropsychiatric systemic lupus erythematosus

Lupus Sci MedPublished Case series

Study context

Population
Patients with SLE suspected of autoimmune encephalitis, October 2014 to April 20244 anti-LGI1 positive
Participants
332 patients
Outcome
Clinical features and treatment outcomes of anti-LGI1 encephalitis in SLE
Methodological detailsretrospective screening cohort, cell-based assays
  • Retrospective screening cohort
  • Cell-based assays

Main finding

As reported in the abstract

Anti-LGI1 antibody positive
4
Signs of limbic encephalitis (short-term memory deficits, seizures, psychiatric disturbances)
4
Faciobrachial dystonic seizures
2
Hyperintense basal ganglia lesions on MRI
2
Significant improvement with corticosteroids, IV immunoglobulin and MMF, no relapses during follow-up of 33 to 60 months
3
Death from pneumonia despite initial improvement of neurological function
1

Observational data: associations, not effects.

Original publication

Autoimmune encephalitis associated with anti-LGI1 antibody: a potential cause of neuropsychiatric systemic lupus erythematosus. Lupus Sci Med. Published 18 February 2025. doi:10.1136/lupus-2024-001429

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