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AE Awareness Month
February 2021 Special Edition
In this Issue~
- *Announcements: AE Awareness Month Speakers Series Webinar Recordings Now Available, Register for two upcoming AE Webinars, AE Studies Seek Your Participation
- * AE Awareness Month On-Going Events: The 3rd Annual Virtual Art Show, This is My Time, 2021’s AE Awareness Video, AE Awareness Shirts/hoodies
- *Children’s Corner: Pediatric autoimmune encephalitis associated with anti-glutamic acid decarboxylase 65 antibody: two cases report and literature review, Anesthesia for Pediatric Patients with Anti-NMDA-Receptor Encephalitis: a retrospective case series, AE Medical Abbreviations word search – for All Ages
- *Most Popular Downloads: Handout Cytokine storm: A detrimental overreaction, Living with Brain Injury
- *COVID-19’s Impact on the AE Community: Does my MS (or AE) medication affect my ability to respond to vaccines?, Masks and Face Coverings for the Lay Public
- *Featured AE Articles: Clinical features of pediatric and adult autoimmune encephalitis: A multicenter sample
- *Clinician’s Corner: A new antibody found in AE~ Ca V α2δ Autoimmune Encephalitis: A Novel Antibody and its Characteristics
- *COVID-19 Clinician’s Corner: Emergency Department Management of COVID-19: An Evidence-Based Approach
- *Open Access: Genetic link to anti-NMDAr ~IRAK4 Deficiency Presenting with Anti-NMDAR Encephalitis and HHV6 Reactivation
February ~ AE Awareness Month
Webinar Recordings From Speakers Series Now Available
The first 4 webinars in our AE Awareness Month Speakers Series has been a rousing success. Attendees representing 12 countries took part. IAES is so pleased to have gathered experts of such caliber to present on the key areas of autoimmune encephalitis. The 5 speakers each discuss a topic, that when combined, provide the audience with a completed education of autoimmune encephalitis. Providers and patients alike have hailed this series as the best they have attended on autoimmune encephalitis.
Register for These Upcoming AE Webinars
Michael Sweeney, MD, Pediatric Neurologist Presenting February 26th, 3 pm Assistant Professor in the Division of Child Neurology at the University of Louisville, Kentucky will be presenting on Pediatric Autoimmune Encephalitis. He was the first pediatric neurologist to complete an autoimmune neurology fellowship at the University of Utah. Upon joining as faculty at the University of Louisville in 2016, he started the region’s first-ever clinic to treat children specifically with immune-mediated neurologic disorders. He also joined with colleagues in the Department of Neurology to start an adult autoimmune neurology clinic in conjunction with an established neuroimmunology program.
The Euroimmun Academy Presents Autoimmune Encephalitis Webinar February 25th
The Euroimmun Academy is proud to present the upcoming “Neurology Webinar Series” #2 in the series “Autoimmune Encephalitis” taking place on February 25.
This webinar is open to patients, families, and physicians. Register for this webinar on Autoimmune Encephalitis taking place on February 25.
About the presenters~
Robert Kadish, MD
Dr. Robert Kadish is an assistant professor of neurology at the University of Utah in the division of Neuroimmunology. He received his undergraduate degree in Biology at Birmingham-Southern College and obtained his medical degree from The University of Alabama School of Medicine. He completed a neurology residency at the University of Louisville and his fellowship in Autoimmune Neurology at The University of Utah. Clinical focuses include Autoimmune Neurology, Neuroimmunology, General Neurology, and the use of technology and diagnostics in medicine. He sees patients with conditions such as multiple sclerosis, neuromyelitis optica, neurosarcoidosis, and autoimmune encephalitis. Throughout his career, he has taken a special interest in trainee education and is excited to continue this trend at the University of Utah where he is the associate director for the neurology medical student clerkship and has designed and implemented a structured neuroimmunology and autoimmune neurology curriculum for neurology residents. Ongoing interests include Neuromyelitis Optica Spectrum Disorders, non-invasive outcomes measures in various immune-mediated conditions, and CNS disorders.
Stanley Naides, MD
Two AE Studies Seek Your Participation
AE Patients Residing in Australia ~Your Participation is Needed
Dr. Mastura Monif, a member of the IAES Medical Advisory board who is located in Australia, is conducting a study on autoimmune encephalitis and seeks patient participation.
Leads The Australian Autoimmune Encephalitis Consortium Project that consists of up to 13 health and academic centers around the country bringing national experts together to tackle the issue of Autoimmune Encephalitis facing the Australian population.
The group has formed the Australian Autoimmune Encephalitis Consortium bringing together national experts from 4 states around the country to tackle the issue of AE facing the Australian Health sector. With this study, they hope to produce the largest cohort of retrospective and prospective cases of AE in Australia with the aim of gaining a better understanding of disease trajectory as well as identifying key clinical, electroencephalogram/seizure phenotype, cellular and biochemical, radiological & cognitive biomarkers of disease onset, progression & outcome. This study brings together a collaborative & multidisciplinary team of neurologists, neuroimmunologists, epilepsy experts, neuropsychologists, neuroradiologists, psychiatrists, and neuroscientists. The findings are hoped to generate extensive data regarding AE as well as the production of clinical guidelines for early identification, diagnosis & treatment of these devastating conditions.
Caregivers/Family Members of AE Patients Residing in the United Kingdom ~Research Recruitment Underway
Ellie Johnson, a student undertaking the BSc (Hons)Psychology program at the University of Salford is looking for your assistance. As part of her course, she is undertaking a research study titled: Investigating how families cope with the social and emotional impacts of a diagnosis of encephalitis: An Interpretive Phenomenological Analysis
Ms. Johnson is looking to research the experiences and impacts of a diagnosis of encephalitis among the families and carers of patients. By using interpretive phenomenological analysis, she wishes to understand the families’ lived experience and how they coped with this diagnosis. She hopes that this will generate an understanding of the support needs of families and carers.
Any data collected will remain confidential. Ms. Johnson has gained ethical approval for the study from the University of Salford, School of Health and Society Taught Ethics Committee.
On-Going Events During AE Awareness Month
3rd Annual Virtual Art Show
This is Our Time AE Awareness Video 2021
This is Our Time is dedicated to increasing awareness of autoimmune encephalitis by creating a ripple effect of positivity and empowerment for patients and their loved ones.
The video features AE patients of all ages from around the world. By the end of the video, the viewer has an understanding of what AE is, how quickly it impacts people’s lives when it strikes, and what is required to raise awareness that will lead to saving lives and a cure.
IAES has purchased the rights to the song: This Is Our Time.
AE Awareness Month Shirts ~AE Warrior Store
Description: Autoimmune Encephalitis Awareness Month, February 2021 2-sided designs. Items may be ordered in Men’s, Women’s, and Children’s sizes in a variety of styles including a hoodie, long sleeve shirts, and colors.
Back reads: Autoimmune Encephalitis (AE): is a type of brain inflammation where the body’s immune system attacks healthy brain cells.
Spread awareness with these stylish shirts. Wearing this shirt may begin a conversation that could lead to saving a life. The proceeds of your purchase will immediately support autoimmune encephalitis patients, caregivers, and families who are walking this difficult journey. Proceeds also go to support research that may one day lead to a cure.
Puzzles Featuring Original Art by AE Warriors
Pay Tribute to AE Patients and Caregivers During AE Awareness Month
Visit #AE Warrior Gifts on the IAES website for some great ideas about how you can honor your AE Warrior or Caregiver during AE Awareness month. Many offerings there are free. Don’t forget to get a deck of AE Trivia Cards for your AE Warrior, family members, or your Neurologist.
Pediatric autoimmune encephalitis associated with anti-glutamic acid decarboxylase 65 antibody: two case report and literature review
|Conclusions: Pediatric anti-GAD65 antibody-associated autoimmune encephalitis is a rare but treatable disease, including limbic encephalitis and extra limbic encephalitis. The most common clinical manifestations are seizures and memory impairment. Early diagnosis and immunotherapy can improve the symptoms in a short time. But patients with limbic encephalitis often had refractory epilepsy in the chronic phase, and have a poor long-term outcome.|
Anesthesia for Pediatric Patients with anti-NMDA-Receptor Encephalitis: a retrospective case series
Conclusion: Although pediatric patients with anti-N-methyl-D-aspartate-receptor encephalitis experienced vital sign changes with anesthesia, they were not clinically significant, and they behaved similarly to controls. Disease severity may be a risk factor for perioperative complications.
Word Search: Medical Abbreviations
Most Popular Download
Handout ~ Cytokine storm: A detrimental overreaction
Living With Brain Injury Handout
COVID-19’s Impact on the AE Community
Does my MS (or AE) medication affect my ability to respond to vaccines?
Multiple sclerosis (and AE) medications can impact your body’s ability to mount an immune response to a vaccine. Most trials looking at responses to vaccines in MS patients measure antibodies in the blood which is driven by B cell immune response. You may be able to mount an effective T cell response to a virus, but much harder to measure. Different MS (and AE) medications (DMTs) might weaken your ability to develop a protective level of immunity from a vaccine.
For COVID-19, the Pfizer and Moderna vaccines are mRNA vaccines. The mRNA contains instructions for our own body to make a harmless “spike” protein. This spike protein is on the surface of the COVID-19 virus. The spikes on the surface of this COVID-19 coronavirus creates a “corona” (derived from the Latin word for crown). The mRNA is surrounded by a lipid (fatty) nanoparticle that allows it to enter cells of the body when injected into the muscle. Once mRNA is in the cells, the cells can create their own spike proteins on their surface. The body’s immune system that reacts to these foreign spike proteins leading to immunity with memory T and B cells. These COVID-19 vaccinations result in a robust immune response to this spike protein that provides up to 95% immunity from the real COVID-19 infection, caused by the SARS-CoV-2 virus.
Masks and Face Coverings for the Lay Public
A Narrative Update
This narrative review has summarized a heterogeneous body of evidence on population masking in the context of the COVID-19 pandemic. Evidence that the virus can be airborne (and therefore be inhaled) and that masking policy, when effectively delivered, save lives is now strong. There is no evidence of serious harms from masks and face coverings, although discomfort, communication difficulties, and environmental effects are not insignificant. Psychological effects, which are culturally framed, shape acceptance and adherence.
As masking has become recommended or mandated, there is an urgent research agenda to develop alternatives that are more efficient, more comfortable, more acceptable, less disruptive of normal communication practices, and more environmentally friendly than currently available products.
Until the threat of the pandemic is behind us, we recommend that the public wear masks or face coverings in situations and settings where risk for transmission is high—notably where ventilation is poor when large numbers of persons are gathered, when some are vocalizing (especially singing or shouting), and when contact is prolonged.
Featured AE Article~
Clinical features of pediatric and adult autoimmune encephalitis: A multicenter sample
Objective: Describe the clinical presentation, seizure type, EEG, and sleep patterns in pediatric and adult patients with AE.
Conclusion: Pediatric patients with AE were more likely to present with psychiatric symptoms, sleep disturbances, focal seizures, and/or status epilepticus compared to adults (p < 0.05). Insomnia and hypersomnia are common sleep problems associated with AE that should be screened early in the diagnostic evaluation. Further studies can be performed to explore the relationship between sleep disturbances and long-term cognitive effects and the incidence of chronic epilepsy in this subset of patients.
A New Antibody has been found in AE: Ca V α2δ Autoimmune Encephalitis: A Novel Antibody and its Characteristics
COVID-19 Clinician’s Corner
Emergency Department Management of COVID-19: An Evidence-Based Approach
Genetic link to anti-NMDAr ~IRAK4 Deficiency Presenting with Anti-NMDAR Encephalitis and HHV6 Reactivation
IRAK4 deficiency is an inborn error of immunity predisposing patients to invasive pyogenic infections. Currently, there is no established simple assay that enables precise characterization of IRAK4 mutant alleles in isolation. Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an autoimmune condition that is characterized by psychiatric symptoms, involuntary movement, seizures, autonomic dysfunction, and central hypoventilation. It typically occurs in adult females associated with tumors. Only a few infantile cases with anti-NMDAR encephalitis have been so far reported. We identified a 10-month-old boy with IRAK4 deficiency presenting with anti-NMDAR encephalitis and human herpes virus 6 (HHV6) reactivation. The diagnosis of IRAK4 deficiency was confirmed by the identification of compound heterozygous mutations c.29_30delAT (p.Y10Cfs*9) and c.35G>C (p.R12P) in the IRAK4 gene, low levels of IRAK4 protein expression in peripheral blood, and defective fibroblastic cell responses to TLR and IL-1 (TIR) agonist. We established a novel NF-κB reporter assay using IRAK4-null HEK293T, which enabled the precise evaluation of IRAK4 mutations. Using this system, we confirmed that both novel mutations identified in the patient are deleterious. Our study provides a new simple and reliable method to analyze IRAK4 mutant alleles. It also suggests the possible link between inborn errors of immunity and early onset anti-NMDAR encephalitis.
AE Trivia Playing Cards
The perfect companion for patients, Caregivers & Therapist
We appreciate the National Organization of Rare Diseases’ (NORD) enthusiastic support in recommending this groundbreaking product.
Ways to Shop & Support IAES
Have you wanted to support IAES, autoimmune encephalitis awareness, and the AE Warrior that you love?
Have you found our services helpful? Do you want to make sure patients are identified early and that they and their loved ones receive the best help possible during this difficult journey?
Here is an easy and affordable way to donate without feeling a thing when shopping with your Paypal account. Each time you check out you will be reminded that you can give $1 to IAES.
When you shop Amazon Smiles and select IAES as the non-profit you want to support, Amazon will donate 5% of our purchases to the International Autoimmune Encephalitis Society.
The need for our services has increased exponentially. This simple act of kindness, will support the work we do and advance our ability to service the community.
International Autoimmune Encephalitis Society is proud to be a platinum level participant on the Guide Star exchange, demonstrating or commitment to financial transparency. IAES is a charitable non-profit 501 (c)(3) organization. Tax ID#81-3752344
Donations raised are greatly appreciated and directly support research, patients, caregivers, and families through their journey so the best outcomes can be reached. Your contribution to our mission will help save a life and improve the quality of lives for others. Be a part of the solution by supporting IAES.
Driven by the knowledge that “Education is Power”, Int’l AE Society manages an educational support group for patients diagnosed with Autoimmune Encephalitis and their loved ones on Face Book, empowering them to be strong self-advocates and advocates that will lead them to best outcomes and recovery. We are the premiere organization leading in these vital roles.