Non-Convulsive Status Epilepticus Associated With Glutamic Acid Decarboxylase Antibody


Cikrikcili U., Ulusoy C. A. , Turan S., Yildiz S., Bilgic B. , Hanagasi H. A. , ...More

CLINICAL EEG AND NEUROSCIENCE, vol.44, no.3, pp.232-236, 2013 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 3
  • Publication Date: 2013
  • Doi Number: 10.1177/1550059412459330
  • Title of Journal : CLINICAL EEG AND NEUROSCIENCE
  • Page Numbers: pp.232-236

Abstract

Autoimmune encephalitis associated with glutamic acid decarboxylase antibodies (GAD-Ab) often presents with treatment-resistant partial seizures, as well as other central nervous system symptoms. In contrast to several other well-characterized autoantibodies, GAD-Ab has very rarely been associated with status epilepticus. We report a 63-year-old woman initially admitted with somnolence and psychiatric findings. The EEG findings, of generalized and rhythmical slow spike-wave activity over the posterior regions of both hemispheres, together with the clinical deterioration in responsiveness, led to the diagnosis of non-convulsive status epilepticus. Investigation of a broad panel of autoantibodies, revealed only increased serum GAD-Ab levels. Following methylprednisolone and intravenous immunoglobulin treatments, the patient's neurological symptoms improved, EEG findings disappeared and GAD-Ab levels significantly decreased. GAD-Ab should be added to the list of anti-neuronal antibodies associated with non-convulsive status epilepticus. Disappearance of clinical findings and seroreversion after immunotherapy suggest that GAD-Ab might be involved in seizure pathogenesis.