48 Scopus citations

Abstract

Autoimmune encephalitis is one of the most rapidly growing research topics in neurology. Along with discoveries of novel antibodies associated with the disease, clinical experience and outcomes with diverse immunotherapeutic agents in the treatment of autoimmune encephalitis are accumulating. Retrospective observations indicate that early aggressive treatment is associated with better functional outcomes and fewer relapses. Immune response to first-line immunotherapeutic agents (corticosteroids, intravenous immunoglobulin, plasma exchange, and immunoadsorption) is fair, but approximately half or more of patients are administered second-line immunotherapy (rituximab and cyclophosphamide). A small but significant proportion of patients are refractory to all firstand second-line therapies and require further treatment. Although several investigations have shown promising alternatives, the low absolute number of patients involved necessitates more evidence to establish further treatment strategies. In this review, the agents used for firstand second-line immunotherapy are discussed and recent attempts at finding new treatment options are introduced.

Original languageEnglish
JournalTherapeutic Advances in Neurological Disorders
Volume11
DOIs
StatePublished - 1 Jan 2018

Keywords

  • Autoimmune encephalitis
  • Immunotherapeutic agent
  • Treatment option

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