Limbic encephalitis: a cause of temporal lobe epilepsy with onset in adult life

Epilepsy Behav. 2007 Jun;10(4):529-38. doi: 10.1016/j.yebeh.2007.03.011. Epub 2007 May 9.

Abstract

Limbic encephalitis (LE) was described in the 1960s as a clinical-pathological syndrome in adults. Initially, the paraneoplastic form was the center of interest. An increasing number of diagnostically valuable autoantibodies in patients' sera (and cerebrospinal fluid) have been identified. Lately, the impact of non-paraneoplastic LE cases has been acknowledged. In the serum of some of these patients, antibodies against voltage-dependent potassium channels (VGKC antibodies) have been detected. The characteristic MRI course of LE patients has recently been described in detail: hippocampal swelling and T2/FLAIR signal increase are early findings. After a few months, the swelling regresses, followed by hippocampal atrophy with continuous signal increase. A general consensus on formal diagnostic criteria for all LE subsyndromes has not yet been reached. This article proposes such diagnostic criteria and formulates suggestions for treatment.

Publication types

  • Review

MeSH terms

  • Age of Onset
  • Autoantibodies / analysis
  • Cell Membrane / immunology
  • Diagnosis, Differential
  • Epilepsy, Temporal Lobe / diagnosis
  • Epilepsy, Temporal Lobe / etiology*
  • Humans
  • Limbic Encephalitis / complications*
  • Limbic Encephalitis / diagnosis
  • Limbic Encephalitis / immunology
  • Limbic Encephalitis / therapy
  • Magnetic Resonance Imaging

Substances

  • Autoantibodies