[Autoimmune Encephalitis/Meningitis]

No Shinkei Geka. 2021 Mar;49(2):401-406. doi: 10.11477/mf.1436204405.
[Article in Japanese]

Abstract

Less than half of the cases of autoimmune encephalitis have brain MRI abnormalities; however, some patterns of MRI findings help diagnosis. Usually, DWI and FLAIR images reveal hyperintensity lesions in the cortical or subcortical regions or the cerebellum and/or the brainstem. Hyperintensity lesions in the limbic cortex on DWI suggest NMDAR encephalitis. RA or polychondritis-related meningitis show bright dot or linear signals on the convexities on DWI. Area postrema syndrome is a typical form of neuromyelitis optica. These conditions need to be diagnosed promptly for effective treatment.

MeSH terms

  • Encephalitis* / diagnostic imaging
  • Hashimoto Disease* / diagnostic imaging
  • Humans
  • Magnetic Resonance Imaging
  • Meningitis* / diagnostic imaging

Supplementary concepts

  • Hashimoto's encephalitis