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Neuromuscular and nervous system

Autoimmune encephalitis

Autoimmune encephalitis is a broad term for brain inflammation driven by the immune system, most often through antibodies against proteins on the surface of nerve cells or, less commonly, proteins inside them. Anti-NMDA receptor encephalitis is one specific and well-studied type, and others involve antibodies such as LGI1 or GABA receptors, with some cases linked to an underlying tumor and others not. The pattern of symptoms depends on which part of the brain is affected.

Research describes autoimmune encephalitis overall as a group of conditions now recognized about as often as infectious causes of encephalitis, and their recognized prevalence has been rising as testing has improved, though reviewers note that solid population-level epidemiological data remain scarce. Some subtypes are more common in children and young adults and more prevalent in women, while others affect a broader age range.

Common signs

Fairly rapid changes in memory and thinking, mood or behavior changes, confusion, seizures, abnormal movements, and sometimes sleep or autonomic disturbances, usually developing over days to weeks rather than slowly over years.

This is a plain-language summary for orientation, not a diagnosis. Mechanisms are described as current understanding, not settled fact. Work with your own clinician for your care.

Questions people ask

What is autoimmune encephalitis?+
Autoimmune encephalitis is a broad term for brain inflammation driven by the immune system, most often through antibodies against proteins on the surface of nerve cells, and less commonly through proteins inside them. The pattern of symptoms depends on which part of the brain is affected. Research describes autoimmune encephalitis overall as a group of conditions now recognized about as often as infectious causes of encephalitis, and its recognized prevalence has been rising as testing has improved, though reviewers note that solid population-level data remain scarce.
What are the symptoms of autoimmune encephalitis?+
Symptoms include fairly rapid changes in memory and thinking, mood or behavior changes, confusion, seizures, and abnormal movements. Sleep or autonomic disturbances can also occur. These changes usually develop over days to weeks rather than slowly over years.
What are the different types of autoimmune encephalitis?+
Anti-NMDA receptor encephalitis is one specific and well-studied type. Others involve antibodies such as LGI1 or GABA receptors. Some cases are linked to an underlying tumor and others are not, and some subtypes are more common in children and young adults and more prevalent in women, while others affect a broader age range.

In a doctor’s words

“It's scary, I know, for a lot of these patients and their families, but taking a step back and looking at the big picture of everything and knowing that there are lots and lots of people who are interested in research and moving the field forward [can be encouraging].”

Grace Gombolay, MD, pediatric neuroimmunologist, Emory University and Children's Healthcare of Atlanta
Read more at International Autoimmune Encephalitis Society (IAES), in partnership with PennNeuroKnow ↗

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Articles from Daniela

Daniela Hess, MSEd, is a co-founder of Great Energy and an Autoimmune Educator and Functional Wellness Consultant who lives and thrives with Hashimoto’s. She is not a licensed medical provider.

Meet Your Guide, Daniela Hess, the Founder and Creator of the Autoimmune Recovery MethodThe 3 factors behind every Autoimmune conditionThe Autoimmune Diseases: What Autoimmunity Really Is, and Why It Lands Where It Does

AIP recipes to try

A place to start in the kitchen while you work on this with your own clinician: