Recurrent encephalopathy: causes

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

Recurrent encephalopathy: causes. Klein-Levin syndrome (KLS), Familial hemiplegic migraine (FHM), Neurosarcoidosis. Fully referenced neurology checklist.

Neurological causes

  • Klein-Levin syndrome (KLS)
  • Familial hemiplegic migraine (FHM)
  • Neurosarcoidosis
  • Relapsing encephalopathy with cerebellar ataxia (RECA):
  • Aicardi Goutieres syndrome (AGS)
  • SCN2A missense mutaion

Vascular causes

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Infective causes

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Metabolic causes

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Endocrine causes

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Systemic causes

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Toxic and drug-induced

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References

  1. Iqbal M, Prasad M, Ritey C. Recurrent encephalopathy? No I'm a sleeping beauty! J Pediatr Neurosci 2014; 9:82-84.
  2. Spacey SD, Vanmolkot KR, Murphy C, van den Maagdenberg AM, Hsiung RG. Familial hemiplegic migraine presenting as recurrent encephalopathy in a Native Indian family. Headache 2005; 45:1244-1249.
  3. Rudkin AK, Wilcox RA, Slee M, Kupa A, Thyagarajan D. Relapsing encephalopathy with headache: an unusual presentation of isolated intracranial neurosarcoidosis. JNNP 2007; 78:770-771.
  4. Sabouraud P, Riquet A, Spitz MA, et al. Relapsing encephalopathy with cerebellar ataxia are caused by variants involving p.Arg756 in ATP1A3. Eur J Paediatr Neurol 2019; 23:448-455.
  5. Samanta D, Ramakrishnaiah R. Recurrent encephalopathy with spinal cord involvement: an atypical manifestation of Aicardi-Goutières syndrome. Ann Indian Acad Neurol 2019; 22:111-115.
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