Anti-GAD cerebellar ataxia

Evidence-based neurology checklist on anti-gad cerebellar ataxia: Pathology This is caused by anti-GAD65 antibodies The antibodies may be paraneoplastic Demographic features Prodromal features Clinical features Associated autoimmune diseases Cerebrospinal fluid (CSF) analysis Magnetic resonance…

Pathology

  • This is caused by anti-GAD65 antibodies
  • The antibodies may be paraneoplastic

Demographic features

Prodromal features

Clinical features

Associated autoimmune diseases

Cerebrospinal fluid (CSF) analysis

Magnetic resonance imaging (MRI) brain

Acute treatment

Maintenance treatment

References

  1. Ariño H, Gresa-Arribas N, Blanco Y, et al. Cerebellar ataxia and glutamic acid decarboxylase antibodies: immunologic profile and long-term effect of immunotherapy. JAMA Neurol 2014; 71:1009-1016. 
  2. Kuchling J, Shababi-Klein J, Nümann A, Gerischer LM, Harms L, Prüss H. GAD antibody-associated late-onset cerebellar ataxia in two female siblings. Case Rep Neurol 2014; 6:264-270. 
  3. Bayreuther C, Hieronimus S, Ferrari P, Thomas P, Lebrun C. Auto-immune cerebellar ataxia with anti-GAD antibodies accompanied by de novo late-onset type 1 diabetes mellitus. Diabetes Metab 2008; 34:386-388. 
  4. Saiz A, Arpa J, Sagasta A, et al. Autoantibodies to glutamic acid decarboxylase in three patients with cerebellar ataxia, late-onset insulin-dependent diabetes mellitus, and polyendocrine autoimmunity. Neurology 1997; 49:1026-1030.

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