Anti DPPX autoimmune encephalitis: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Anti DPPX autoimmune encephalitis: management. White cell counts: there is a lymphocytic pleocytosis. Fully referenced neurology checklist.

Cerebrospinal fluid (CSF) analysis

  • White cell counts: there is a lymphocytic pleocytosis
  • Oligoclonal bands (OCBs): these are present

Electroencephalogram (EEG)

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Magnetic resonance imaging (MRI) brain

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Treatment

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References

  1. Stokin GB, Popović M, Gelpi E, Kogoj A, Dalmau J, Graus F. Neuropathologic features of anti-dipeptidyl-peptidase-like protein-6 antibody encephalitis. Neurology 2015; 84:430-432. 
  2. Stoeck K, Carstens PO, Jarius S, et al. Prednisolone and azathioprine are effective in DPPX antibody-positive autoimmune encephalitis. Neurol Neuroimmunol Neuroinflamm 2015; 2:e86.
  3. Heuer C, Disse L, Ledergerber D, Jelcic I, Imbach LL. EEG-Delta brushes in DPPX encephalitis - welcome to the club. Clin Neurophysiol Pract 2022; 8:12-15.
  4. Balint B, Jarius S, Nagel S, et al. Progressive encephalomyelitis with rigidity and myoclonus: a new variant with DPPX antibodies. Neurology 2014; 82:1521-1528.

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