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Wien. Klin. Wochenschr. · Jan 2024
ReviewThe three pillars in treating antibody-mediated encephalitis.
- S Macher, G Bsteh, E Pataraia, T Berger, R Höftberger, and P S Rommer.
- Department of Neurology, Medical University of Vienna, Vienna, Austria.
- Wien. Klin. Wochenschr. 2024 Jan 1; 136 (1-2): 132413-24.
AbstractThe rapid initiation of immunotherapy has a decisive impact on the course of the disease in patients with antibody-mediated encephalitis (AE). The importance of treating AE with antiseizure medication and antipsychotics is discussed controversially; however, standardized procedures should be ensured, especially for the initiation of treatment in severe disease. Recommendations and guidelines for further interventions in refractory courses are needed. In this review, we contrast the three mainstays of treatment options in patients with AE and attempt to highlight the importance of 1) antiseizure therapy, 2) antipsychotic therapy, and 3) immunotherapy/tumor resection from today's perspective.© 2023. The Author(s).
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