Case Report

Clinical Diagnosis of an Autoimmune Encephalitis Presented as a Manic Episode with Psychotic Symptoms: A Case Report

Table 1

Main antibodies against intracellular antigens associated with autoimmune encephalitis.

AntibodyAssociated syndromeTumor frequencyTumor type

Anti-HuLimbic encephalitis, encephalomyelitis, sensory neuropathy, cerebellar degeneration, autonomic neuropathy [10]>90%Small-cell lung cancer, neuroblastoma, prostate cancer
Anti-RIRomboencephalitis, myoclonus opsoclonus, cerebellar degeneration [10]>90%Small-cell lung cancer, gynaecological tumors, breast cancer
Anti-MaLimbic encephalitis, rhomboencephalitis, cerebellar degeneration [32]>90%Testicular tumors, small-cell lung cancer, breast cancer
AntiamphiphysinStiff-man syndrome, Lamber Eaton syndrome, motor-sensory polyneuropath, encephalomyelitis, paraneoplastic cerebellar degeneration. [33]>90%Breast, small-cell lung cancer
Anti-CV2/CRMP5Limbic encephalitis, encephalomyelitis, optic neuritis, cerebellar degeneration, sensory-motor neuropathy, chorea [34]>90%Small-cell lung cancer, thymoma
Anti-GAD65Limbic encephalitis: prodominant temporal lobe epilepsy with moderate cognitive impairment. It is also associated with stiff person [35].Not associatedAssociated with other autoimmune diseases such as diabetes and thyroiditis
GFAP-IgGAutoimmune meningoencephalomyelitis,
Autoimmune astrocytopathy [36]
20%Teratoma, adenocarcinoma

CRMP5: collapsin response mediator protein; 5 GAD: glutamic acid decarboxylase; GFAP-IgG: glial fibrillary acidic protein immunoglobulin G.