[A case of chronic cerebellitis with anti-glutamate receptor delta 2 antibody]

No To Hattatsu. 2004 Jan;36(1):60-3.
[Article in Japanese]

Abstract

A 1-year-8-month-old patient developed cerebellar ataxia following a prodromal infection. Despite initial diagnosis of acute cerebellar ataxia, his symptoms lasted for more than 30 days. High-dose intravenous immunoglobulin and steroid pulse therapy failed to ameliorate his cerebellar symptoms, which fluctuated in association with infections. At the age of 3 years and 8 months, he had mental retardation with cerebellar symptoms. Findings of MR imaging and single photon emission computed tomography were normal. Neuron-specific enolase of cerebrospinal fluid (CSF) ranged from 10.4-17.6 ng/ml, correlating with the cerebellar symptoms. Serum and CSF anti-glutamate receptor delta 2 antibodies were detected in the serum and CSF. We diagnosed him as having chronic cerebellitis associated with anti-glutamate receptor delta 2 antibody.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Autoantibodies / adverse effects*
  • Autoantibodies / blood
  • Autoantibodies / cerebrospinal fluid
  • Biomarkers / blood
  • Biomarkers / cerebrospinal fluid
  • Cerebellar Ataxia / etiology
  • Cerebellar Diseases / diagnosis*
  • Cerebellar Diseases / etiology*
  • Child, Preschool
  • Chronic Disease
  • Humans
  • Male
  • Phosphopyruvate Hydratase / cerebrospinal fluid
  • Receptors, Glutamate / immunology*

Substances

  • Autoantibodies
  • Biomarkers
  • Receptors, Glutamate
  • glutamate receptor delta 2
  • Phosphopyruvate Hydratase