Herard Kimberly, Khanni Javed L, Alusma-Hibbert Kettia, Samuels Courtland R, Espinosa Patricio S
Internal Medicine, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Neurology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus. 2019 May 23;11(5):e4738. doi: 10.7759/cureus.4738.
Anti-glutamic acid decarboxylase (GAD) antibodies have been discovered in a variety of neurological syndromes with unique presentations. These syndromes include limbic encephalitis (LE), stiff person syndrome (SPS), opsoclonus-myoclonus-ataxia syndrome, cerebellar ataxia, status epilepticus, and palatal myoclonus among others. We present two patients who presented with Guillain-Barré (GBS) and myasthenia gravis (MG) like syndromes, who were found to have anti-GAD antibodies. These case reports highlight the complex presentation of patients with neurological disorders associated with anti-GAD antibodies. The proper identification of anti-GAD antibody's presence has proven to be beneficial in treatment and provide enhanced quality of life.
抗谷氨酸脱羧酶(GAD)抗体已在多种具有独特表现的神经综合征中被发现。这些综合征包括边缘性脑炎(LE)、僵人综合征(SPS)、眼阵挛-肌阵挛-共济失调综合征、小脑共济失调、癫痫持续状态和腭肌阵挛等。我们报告了两名表现为吉兰-巴雷综合征(GBS)和重症肌无力(MG)样综合征的患者,他们被发现存在抗GAD抗体。这些病例报告突出了与抗GAD抗体相关的神经疾病患者的复杂表现。抗GAD抗体存在的正确识别已被证明在治疗中有益,并能提高生活质量。