Diagnosis and Management of Suspected Pediatric Autoimmune Encephalitis: A Comprehensive, Multidisciplinary Approach and Review of Literature.
Melissa A WrightCristina C TrandafirGary R NelsonAimee O HershC J InmanBrandon A ZielinskiPublished in: Journal of child neurology (2021)
Autoimmune encephalitis is an increasingly recognized entity in children. When treated promptly, favorable outcomes are seen in a majority of pediatric patients. However, recognition of autoimmune encephalitis in young patients is challenging. Once autoimmune encephalitis is suspected, additional difficulties exist regarding timing of treatment initiation and duration of treatment, as evidence to guide management of these patients is emerging. Here, we review available literature regarding pediatric autoimmune encephalitis and present our institution's comprehensive approach to the evaluation and management of the disease. These guidelines were developed through an iterative process involving both pediatric neurologists and rheumatologists.
Keyphrases
- end stage renal disease
- multiple sclerosis
- newly diagnosed
- chronic kidney disease
- ejection fraction
- systematic review
- peritoneal dialysis
- prognostic factors
- pulmonary embolism
- magnetic resonance imaging
- computed tomography
- magnetic resonance
- adipose tissue
- patient reported outcomes
- combination therapy
- middle aged
- clinical practice
- quality improvement
- patient reported
- replacement therapy