Title |
Intravenous Immunoglobulin and Rituximab for Cerebellar Ataxia with Glutamic Acid Decarboxylase Autoantibodies
|
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Published in |
The Cerebellum, November 2013
|
DOI | 10.1007/s12311-013-0534-3 |
Pubmed ID | |
Authors |
Vincent Planche, Ana Marques, Miguel Ulla, Marc Ruivard, Franck Durif |
Abstract |
Cerebellar ataxia associated with glutamic acid decarboxylase autoantibodies (GAD-ab) is a rare and usually slow progressive disease with moderate to severe gait and limb ataxia, dysarthria, and nystagmus. The treatment for this condition is still being discussed. We report the cases of three patients with GAD-ab cerebellar ataxia treated successively with intravenous immunoglobulin (IVIg) and rituximab. Symptoms improved in one case after rituximab therapy and were stabilized in another after a combined therapy of IVIg and rituximab. The third patient continued to worsen despite these treatments. We conclude that IVIg and rituximab therapy could improve or stabilize GAD-ab cerebellar ataxia. Early treatment, the lack of cerebellar atrophy on magnetic resonance imaging, and a subacute onset of the symptoms could be decisive prognostic factors. |
X Demographics
Geographical breakdown
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 21 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 4 | 19% |
Other | 4 | 19% |
Student > Ph. D. Student | 2 | 10% |
Student > Postgraduate | 2 | 10% |
Lecturer | 1 | 5% |
Other | 4 | 19% |
Unknown | 4 | 19% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 11 | 52% |
Biochemistry, Genetics and Molecular Biology | 1 | 5% |
Agricultural and Biological Sciences | 1 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 5% |
Social Sciences | 1 | 5% |
Other | 3 | 14% |
Unknown | 3 | 14% |