RT Journal Article
T1 Prevalence of Neural Autoantibodies in Epilepsy of Unknown Etiology: Systematic Review and Meta-Analysis
A1 Cabezudo-García, Pablo
A1 Mena-Vázquez, Natalia
A1 Ciano-Petersen, Nicolás L.
A1 García-Martín, Guillermina
A1 Estivill-Torrús, Guillermo
A1 Serrano-Castro, Pedro J.
K1 Epilepsy
K1 Autoimmune epilepsy
K1 Antibodies
K1 Autoantibodies
K1 Neural autoantibodies
K1 Prevalence
K1 Glutamic acid decarboxylase
K1 Glycine receptor
K1 Epilepsia
K1 Anticuerpos
K1 Autoanticuerpos
K1 Prevalencia
K1 Glutamato descarboxilasa
K1 Receptores de glicina
AB Background: The prevalence of neural autoantibodies in epilepsy of unknown etiology varies among studies. We aimed to conduct a systematic review and meta-analysis to determine the pooled global prevalence and the prevalence for each antibody. Methods: A systematic search was conducted for studies that included prospectively patients ≥16 years old with epilepsy of unknown etiology and systematically determined neural autoantibodies. A meta-analysis was undertaken to estimate pooled prevalence in total patients with a positive result for at least one neural autoantibody in serum and/or cerebrospinal fluid (CSF) and for each autoantibody. Results: Ten of the eleven studies that met the inclusion criteria and a total of 1302 patients with epilepsy of unknown etiology were included in themeta-analysis. The global pooled prevalence (IC95%) was 7.6% (4.6–11.2) in a total of 82 patients with a positive result for any neural autoantibody. None of the controls available in the studies had a positive result. Individual pooled prevalence for each autoantibody was: glycine receptor (GlyR) (3.2%), glutamic acid decarboxylase (GAD) (1.9%), N-methyl-d-aspartate receptor (NMDAR) (1.8%), leucine-rich glioma inactivated-1 protein (LGI1) (1.1%), contactin-2-associated protein (CASPR2) (0.6%) and onconeuronal (0.2%). Conclusions: The pooled prevalence of neural autoantibodies in patients with epilepsy of unknown etiology is small but not irrelevant. None of the controls had a positive result. There was high heterogeneity among studies. In the future, a homogeneous protocol for testing neural autoantibodies is recommended.
PB MDPI
YR 2021
FD 2021-03-19
LK http://hdl.handle.net/10668/4349
UL http://hdl.handle.net/10668/4349
LA en
NO Cabezudo-García P, Mena-Vázquez N, Ciano-Petersen NL, García-Martín G, Estivill-Torrús G, Serrano-Castro PJ. Prevalence of Neural Autoantibodies in Epilepsy of Unknown Etiology: Systematic Review and Meta-Analysis. Brain Sci. 2021 Mar 19;11(3):392.
DS RISalud
RD Apr 7, 2025