Total, n(%) | Paraneoplastic anti-NMDARE, n(%) | Anti-NMDARE without teratoma, n(%) | P values | |
---|---|---|---|---|
Total | 159 | 12 (7.5%) | 147 (92.5%) | – |
Age, years, median (range) | 25(9–78) | 21 (17–43) | 26 (9–78) | 0.445b |
Sex (female) | 89(56.0%) | 11 (91.7%) | 78 (53.1%) | 0.01a |
Psychiatric symptoms | 151 (95%) | 11 (91.7%) | 140 (95.2%) | 0.474c |
Seizure | 130 (81.8%) | 12 (100%) | 118 (80.3%) | 0.125c |
Speech disturbances | 60/141(42.6%) | 5/11 (45.6%) | 55/130 (42.3%) | 1c |
Dyskinesias and movement disorders | 90 (56.6%) | 9 (75%) | 81 (55.1%) | 0.384a |
Autonomic instability | 53 (33.3%) | 6 (50%) | 47 (32.0%) | 0.53c |
Memory deficits | 97/119 (81.5%) | 6/8 (75.0%) | 91/111 (82.0%) | 0.64c |
Decreased consciousness | 97 (61.0%) | 10 (83.3%) | 87 (59.2%) | 0.129c |
Central hypoventilation | 33 (20.8%) | 8 (66.7%) | 25 (17.0%) | < 0.001c |
Complications | 106 (66.7%) | 10 (83.3%) | 96 (65.3%) | 0.34c |
Abnormal MRI findings | 61/148 (41.2%) | 5/11 (45.5%) | 56/137 (40.9%) | 0.761c |
Abnormal EEG findings | 113/137 (82.5%) | 11/12 (91.6%) | 102/125 (81.6%) | 1c |
Abnormal CSF findings | 102 (64.2%) | 8 (66.7%) | 94 (63.9%) | 1c |
Antibody titre in CSF | ||||
Weakly positive | 8 | 0 | 8 | 0.004 b |
Positive | 70 | 1 | 69 | |
Strongly positive | 81 | 11 | 70 | |
Antibody titres in serum | ||||
Negative | 69/157 | 3 | 66/145 | 0.114 b |
Weakly positive | 17/157 | 1 | 16/145 | |
Positive | 58/157 | 6 | 52/145 | |
Strongly positive | 13/157 | 2 | 11/145 | |
Treatment | ||||
IVIG(times) | 1 (0–4) | 2 (1–4) | 1 (0–3) | 0.002 b |
MTP(times) | 1 (0–3) | 1 (0–2) | 1 (0–3) | 0.991 b |
IVIG+MTP(times) | 2 (1–5) | 3 (1–5) | 2 (1–5) | 0.037 b |
IVIG+MTP + RTX(times) | 2 (1–8) | 3 (1–8) | 2 (1–8) | 0.042 b |
Interval from onset to receive IT, days, median (IQR) | 24 (4–365) | 12c (7–75) | 25 (4–365) | 0.002 b |
In hospital days, median (IQR) | 25 (3–400) | 57.5 (15–400) | 24 (3–118) | 0.001 b |
Need of ICU | 20(12.6%) | 7(58.3%) | 13 (8.8%) | < 0.001c |
Outcome | ||||
Good outcome (mRS = 0–2) | 125/144 (86.8%) | 11/12 (91.7%) | 114/132 (86.4%) | 1c |
Death | 12/144 (8.3%) | 1/12 (8.3%) | 11/132 (8.3%) | 1c |
Relapse | 13/144 (9.0%) | 1/12 (8.3%) | 12/132 (9.1%) | 1c |