Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis

Yıl: 2023 Cilt: 58 Sayı: 2 Sayfa Aralığı: 142 - 153 Metin Dili: İngilizce DOI: 10.5152/TurkArchPediatr.2023.22198 İndeks Tarihi: 17-05-2023

Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis

Öz:
Objective: The aim of this study is to evaluate the prognostic factors in a single-center pediatric cohort with autoimmune encephalitis. Materials and Methods: The study group consisted of 23 pediatric autoimmune encephali- tis patients (seropositive autoimmune encephalitis: 15, seronegative autoimmune encephali- tis: 8). Five group prognostic parameters were evaluated: clinical manifestations, elect roenc ephalography features, magnetic resonance imaging characteristics, biomarkers, and treat- ment modalities. Three scoring models were applied: the Antibody Prevalence in Epilepsy and Response to Immunotherapy in Epilepsy for predicting autoimmune-related epilepsy in the whole cohort and the anti-N-methyl-d-aspartate receptor Encephalitis 1-Year Functional Status score for overall outcome in patients with anti-N-methyl-d-aspartate receptor encephalitis. Results: The initial clinical spectrum of the disease was similar in the seronegative and sero- positive groups. Almost half of the patients (48%) recovered without any complications with first-line immunotherapy. The patients with movement disorders in the acute phase of the dis- ease needed more likely second-line immunotherapy (P = .039). The presence of status epilep- ticus at admission was significantly associated with adverse outcomes and the development of autoimmune-related epilepsy (P = .019). Autoimmune-related epilepsy was defined in an equal proportion of patients (91.5%) with 2 immune epilepsy scores (Antibody Prevalence in Epilepsy and Response to Immunotherapy in Epilepsy). The N-methyl-d-aspartate receptor Encephalitis 1-Year Functional Status score and the modified Rankin score assessed for the first-year prog- nosis were strongly correlated among the patients with anti-N-methyl-d-aspartate receptor encephalitis (P = .03, Spearmen’s rho = 0.751). Conclusions: The presence of status epilepticus was the most important prognostic factor in the patients with the adverse outcome. The studied scoring models (Anti-N-methyl-d-aspartate receptor Encephalitis 1-Year Functional Status, Antibody Prevalence in Epilepsy, and Response to Immunotherapy in Epilepsy) have also been proven to be applicable to the pediatric age group for predicting overall outcome and autoimmune-related epilepsy.
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APA Kanmaz S, YILMAZ s, Toprak D, Ataş Y, Ince T, Simsek E, dokurel cetin i, olculu c, Yilmaz O, ŞEN G, Hukmen K, SERIN H, AKTAN G, Gokben S, TEKGÜL H (2023). Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. , 142 - 153. 10.5152/TurkArchPediatr.2023.22198
Chicago Kanmaz Seda,YILMAZ sanem,Toprak Dilara Ece,Ataş Yavuz,Ince Tugce,Simsek Erdem,dokurel cetin ipek,olculu cemile busra,Yilmaz Ozlem,ŞEN GÜRSEL,Hukmen Kaan,SERIN Hepsen Mine,AKTAN GÜL,Gokben Sarenur,TEKGÜL Hasan Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. (2023): 142 - 153. 10.5152/TurkArchPediatr.2023.22198
MLA Kanmaz Seda,YILMAZ sanem,Toprak Dilara Ece,Ataş Yavuz,Ince Tugce,Simsek Erdem,dokurel cetin ipek,olculu cemile busra,Yilmaz Ozlem,ŞEN GÜRSEL,Hukmen Kaan,SERIN Hepsen Mine,AKTAN GÜL,Gokben Sarenur,TEKGÜL Hasan Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. , 2023, ss.142 - 153. 10.5152/TurkArchPediatr.2023.22198
AMA Kanmaz S,YILMAZ s,Toprak D,Ataş Y,Ince T,Simsek E,dokurel cetin i,olculu c,Yilmaz O,ŞEN G,Hukmen K,SERIN H,AKTAN G,Gokben S,TEKGÜL H Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. . 2023; 142 - 153. 10.5152/TurkArchPediatr.2023.22198
Vancouver Kanmaz S,YILMAZ s,Toprak D,Ataş Y,Ince T,Simsek E,dokurel cetin i,olculu c,Yilmaz O,ŞEN G,Hukmen K,SERIN H,AKTAN G,Gokben S,TEKGÜL H Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. . 2023; 142 - 153. 10.5152/TurkArchPediatr.2023.22198
IEEE Kanmaz S,YILMAZ s,Toprak D,Ataş Y,Ince T,Simsek E,dokurel cetin i,olculu c,Yilmaz O,ŞEN G,Hukmen K,SERIN H,AKTAN G,Gokben S,TEKGÜL H "Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis." , ss.142 - 153, 2023. 10.5152/TurkArchPediatr.2023.22198
ISNAD Kanmaz, Seda vd. "Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis". (2023), 142-153. https://doi.org/10.5152/TurkArchPediatr.2023.22198
APA Kanmaz S, YILMAZ s, Toprak D, Ataş Y, Ince T, Simsek E, dokurel cetin i, olculu c, Yilmaz O, ŞEN G, Hukmen K, SERIN H, AKTAN G, Gokben S, TEKGÜL H (2023). Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. Turkish archives of pediatrics (Online), 58(2), 142 - 153. 10.5152/TurkArchPediatr.2023.22198
Chicago Kanmaz Seda,YILMAZ sanem,Toprak Dilara Ece,Ataş Yavuz,Ince Tugce,Simsek Erdem,dokurel cetin ipek,olculu cemile busra,Yilmaz Ozlem,ŞEN GÜRSEL,Hukmen Kaan,SERIN Hepsen Mine,AKTAN GÜL,Gokben Sarenur,TEKGÜL Hasan Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. Turkish archives of pediatrics (Online) 58, no.2 (2023): 142 - 153. 10.5152/TurkArchPediatr.2023.22198
MLA Kanmaz Seda,YILMAZ sanem,Toprak Dilara Ece,Ataş Yavuz,Ince Tugce,Simsek Erdem,dokurel cetin ipek,olculu cemile busra,Yilmaz Ozlem,ŞEN GÜRSEL,Hukmen Kaan,SERIN Hepsen Mine,AKTAN GÜL,Gokben Sarenur,TEKGÜL Hasan Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. Turkish archives of pediatrics (Online), vol.58, no.2, 2023, ss.142 - 153. 10.5152/TurkArchPediatr.2023.22198
AMA Kanmaz S,YILMAZ s,Toprak D,Ataş Y,Ince T,Simsek E,dokurel cetin i,olculu c,Yilmaz O,ŞEN G,Hukmen K,SERIN H,AKTAN G,Gokben S,TEKGÜL H Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. Turkish archives of pediatrics (Online). 2023; 58(2): 142 - 153. 10.5152/TurkArchPediatr.2023.22198
Vancouver Kanmaz S,YILMAZ s,Toprak D,Ataş Y,Ince T,Simsek E,dokurel cetin i,olculu c,Yilmaz O,ŞEN G,Hukmen K,SERIN H,AKTAN G,Gokben S,TEKGÜL H Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis. Turkish archives of pediatrics (Online). 2023; 58(2): 142 - 153. 10.5152/TurkArchPediatr.2023.22198
IEEE Kanmaz S,YILMAZ s,Toprak D,Ataş Y,Ince T,Simsek E,dokurel cetin i,olculu c,Yilmaz O,ŞEN G,Hukmen K,SERIN H,AKTAN G,Gokben S,TEKGÜL H "Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis." Turkish archives of pediatrics (Online), 58, ss.142 - 153, 2023. 10.5152/TurkArchPediatr.2023.22198
ISNAD Kanmaz, Seda vd. "Assessment of Prognostic Factors and Validity of Scoring Models in Childhood Autoimmune Encephalitis". Turkish archives of pediatrics (Online) 58/2 (2023), 142-153. https://doi.org/10.5152/TurkArchPediatr.2023.22198