Immune-Mediated Diseases of the Central Nervous System: A Specificity-Focused Diagnostic Paradigm

Pediatr Clin North Am. 2017 Feb;64(1):57-90. doi: 10.1016/j.pcl.2016.08.005.

Abstract

Immune-mediated diseases of the central nervous system show wide variability both symptomatically and with respect to underlying pathophysiology. Recognizing aberrant immunologic activity as the cause of neurologic dysfunction requires establishing as precise a neuroanatomic and functional phenotype as possible, and a diagnostic and therapeutic strategy that stabilizes the patient, excludes broad categories of disease via rapidly available diagnostic assays, and maintains a broad differential diagnosis that includes immune-mediated conditions. This process is aided by recognizing the appropriate clinical circumstances under which immune-mediated disease should be suspected, and how to differentiate these conditions from other causes of similar neurologic dysfunction.

Keywords: Central nervous system; Immune mediated; Immunopathology; Neurologic dysfunction.

Publication types

  • Review

MeSH terms

  • Autoimmune Diseases of the Nervous System / diagnosis*
  • Autoimmune Diseases of the Nervous System / immunology*
  • Child
  • Delayed Diagnosis
  • Diagnosis, Differential
  • Humans
  • Phenotype
  • Rare Diseases / diagnosis*
  • Rare Diseases / immunology*