Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.

BACKGROUND/AIMS: To better characterize progressive encephalomyelitis with rigidity and myoclonus (PERM) syndrome and identify novel PERM phenotypes. METHODS: The clinical features and antibody status of PERM patients were investigated using immunoblots, cell-based assays, RIA, protein macroarray a...

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Glavni autori: Shugaiv, E, Leite, M, Şehitoğlu, E, Woodhall, M, Çavuş, F, Waters, P, İçöz, S, Birişik, Ö, Uğurel, E, Ulusoy, C, Kürtüncü, M, Vural, B, Vincent, A, Akman-Demir, G, Tüzün, E
Format: Journal article
Jezik:English
Izdano: 2013
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author Shugaiv, E
Leite, M
Şehitoğlu, E
Woodhall, M
Çavuş, F
Waters, P
İçöz, S
Birişik, Ö
Uğurel, E
Ulusoy, C
Kürtüncü, M
Vural, B
Vincent, A
Akman-Demir, G
Tüzün, E
author_facet Shugaiv, E
Leite, M
Şehitoğlu, E
Woodhall, M
Çavuş, F
Waters, P
İçöz, S
Birişik, Ö
Uğurel, E
Ulusoy, C
Kürtüncü, M
Vural, B
Vincent, A
Akman-Demir, G
Tüzün, E
author_sort Shugaiv, E
collection OXFORD
description BACKGROUND/AIMS: To better characterize progressive encephalomyelitis with rigidity and myoclonus (PERM) syndrome and identify novel PERM phenotypes. METHODS: The clinical features and antibody status of PERM patients were investigated using immunoblots, cell-based assays, RIA, protein macroarray and ELISA. RESULTS: Two patients with supratentorial involvement showed abnormal PET or EEG findings. One patient was discovered to have renal cell carcinoma, and protein macroarray revealed Ma3-antibodies. Another patient with leucine-rich, glioma-inactivated 1 (LGI1) and glutamic acid decarboxylase (GAD) antibodies showed a good response to immunotherapy. CONCLUSION: The heterogeneity of the immunological features suggests that PERM is caused by diverse pathogenic mechanisms. Seropositivity to well-characterized neuronal cell surface antigens might indicate a good treatment response.
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spelling oxford-uuid:91508fc7-dc26-4433-ad34-b0d2ffbac8482022-03-26T23:17:56ZProgressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:91508fc7-dc26-4433-ad34-b0d2ffbac848EnglishSymplectic Elements at Oxford2013Shugaiv, ELeite, MŞehitoğlu, EWoodhall, MÇavuş, FWaters, Pİçöz, SBirişik, ÖUğurel, EUlusoy, CKürtüncü, MVural, BVincent, AAkman-Demir, GTüzün, E BACKGROUND/AIMS: To better characterize progressive encephalomyelitis with rigidity and myoclonus (PERM) syndrome and identify novel PERM phenotypes. METHODS: The clinical features and antibody status of PERM patients were investigated using immunoblots, cell-based assays, RIA, protein macroarray and ELISA. RESULTS: Two patients with supratentorial involvement showed abnormal PET or EEG findings. One patient was discovered to have renal cell carcinoma, and protein macroarray revealed Ma3-antibodies. Another patient with leucine-rich, glioma-inactivated 1 (LGI1) and glutamic acid decarboxylase (GAD) antibodies showed a good response to immunotherapy. CONCLUSION: The heterogeneity of the immunological features suggests that PERM is caused by diverse pathogenic mechanisms. Seropositivity to well-characterized neuronal cell surface antigens might indicate a good treatment response.
spellingShingle Shugaiv, E
Leite, M
Şehitoğlu, E
Woodhall, M
Çavuş, F
Waters, P
İçöz, S
Birişik, Ö
Uğurel, E
Ulusoy, C
Kürtüncü, M
Vural, B
Vincent, A
Akman-Demir, G
Tüzün, E
Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.
title Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.
title_full Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.
title_fullStr Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.
title_full_unstemmed Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.
title_short Progressive encephalomyelitis with rigidity and myoclonus: a syndrome with diverse clinical features and antibody responses.
title_sort progressive encephalomyelitis with rigidity and myoclonus a syndrome with diverse clinical features and antibody responses
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