Histopathology and clinical course of MOG‐antibody‐associated encephalomyelitis

We present histological, MRI, and clinical features of an adult patient with relapsing encephalomyelitis and antibodies against myelin oligodendrocyte glycoprotein (MOG). Furthermore, we report molecular details of the recognized epitope that is specific for human MOG. A brain biopsy revealed multip...

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Bibliographic Details
Published in:Annals of clinical and translational neurology 2015-03, Vol.2 (3), p.295-301
Main Authors: Spadaro, Melania, Gerdes, Lisa Ann, Mayer, Marie C., Ertl‐Wagner, Birgit, Laurent, Sarah, Krumbholz, Markus, Breithaupt, Constanze, Högen, Tobias, Straube, Andreas, Giese, Armin, Hohlfeld, Reinhard, Lassmann, Hans, Meinl, Edgar, Kümpfel, Tania
Format: Article
Language:English
Subjects:
Amino acids
Brief Communications
Encephalitis
Glycoproteins
Histopathology
Immunoglobulins
Monoclonal antibodies
NMR
Nuclear magnetic resonance
Patients
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Summary:We present histological, MRI, and clinical features of an adult patient with relapsing encephalomyelitis and antibodies against myelin oligodendrocyte glycoprotein (MOG). Furthermore, we report molecular details of the recognized epitope that is specific for human MOG. A brain biopsy revealed multiple sclerosis (MS)‐type II pathology. Some features overlapped with both MS and neuromyelitis optica spectrum disorders (NMOSD), whereas others were distinct from both MS and NMOSD. Immunoadsorption and rituximab induced clinical stabilization. This case contributes a new, so far missing link in the emerging spectrum of MOG‐antibody‐associated encephalomyelitis.
ISSN:2328-9503
2328-9503
DOI:10.1002/acn3.164