Research Article

Seizures as Initial Presentation and Enduring Predisposition to Seizures in Autoimmune Encephalitis

Table 4

Univariate analysis of related factors for poor seizure outcomes in AE patients.

VariablesYes (20, 25.6%)No (58, 74.4%) values

Age at onset, Y, median [IQR]30 [20-55]25 [19-32]0.069
Sex: male, (%)9 (47.4%)29 (50.0%)0.842
Antibody positive, (%)8 (40.0%)17 (29.3%)0.377
Onset with seizures, (%)14 (70.0%)46 (79.3%)0.394
Status epilepticus, (%)1 (5.0%)4 (6.9%)0.765
Seizure type at onset
 Generalized, (%)2 (10.0%)9 (15.5%)0.541
 Focal motor, (%)8 (40.0%)24 (41.4%)0.914
 Focal nonmotor, (%)5 (25.0%)3 (5.3%)0.012
 Focal to bilateral, (%)14 (70.0%)40 (69.0%)0.931
 Multiple seizure type, (%)8 (40.0%)18 (31.0%)0.463
 FBDS, (%)01 (1.7%)0.555
Seizure frequency at onset
 Daily, (%)11 (55.0%)32 (55.2%)0.989
 Weekly, (%)7 (35.0%)12 (20.7%)0.199
 Monthly, (%)2 (10.0%)14 (24.1%)0.177
Drug resistance to ASMs during the acute phase, (%)10 (50.0%)13 (22.4%)0.020
The number of prescribed ASMs during the acute phase, (%)2.5 (2-4)2 (1-3)0.034
Encephalitis-associated symptoms
 Prodromal symptoms, (%)12 (60.0%)31 (53.4%)0.611
 Altered level of consciousness, (%)7 (35.0%)16 (27.6%)0.531
 Behavior disorders, (%)12 (60.0%)24 (41.4%)0.150
 Short-term memory deficits, (%)7 (35.0%)7 (12.1%)0.021
 Cognitive disorders, (%)9 (45.0%)18 (31.0%)0.258
 Speech disorders, (%)2 (10.0%)5 (8.6%)0.852
 Sleep disorders, (%)2 (10.0%)5 (8.6%)0.852
 Central hypoventilation, (%)03 (5.2%)0.300
 Autonomic dysfunction, (%)1 (5.0%)3 (5.2%)0.976
The number of associated symptoms at onset, (%)3 (2-3)2 (1-3)0.037
ICU admission, (%)9 (45.0%)19 (32.5%)0.325
Lung infection, (%)5 (25.0%)20 (34.5%)0.433
Tumors, (%)3 (15.0%)3 (5.2%)0.155
Abnormal EEG findings, (%)14 (87.5%)31 (68.9%)0.146
 Slow activity, (%)10 (62.5%)20 (44.4%)0.215
 IEDs, (%)4 (25.0%)11 (24.4%)0.965
Abnormal MRI findings, (%)14 (73.7%)34 (58.6%)0.240
 T-plus, (%)10 (52.6%)28 (48.3%)0.742
 Extra-T, (%)2 (10.5%)7 (12.1%)0.856
 Both, (%)8 (42.1%)17 (29.3%)0.301
Days between initiation of immunotherapy and onset, days, median [IQR]9 [7-13]11 [5-16]0.643
MRS scores at onset, median [IQR]3 [1-4]2.5 [1-4]0.460
MRS scores at discharge, median [IQR]2 [1-3]1 [0-3]0.067

Abbreviations: FBDS: faciobrachial dystonic seizures; ASMs: antiseizure medications; CSF: cerebrospinal fluid; EEG: electroencephalogram; MRI: magnetic resonance imaging; MRS: modified Rankin Scale; IEDs: interictal epileptiform discharges; T: temporal.