title: Early and chronic gray matter volume changes in limbic encephalitis revealed by voxel-based morphometry.
abstract: OBJECTIVE
  Antibody-associated limbic encephalitis (LE) is an increasingly recognized cause of mostly adult-onset temporal lobe epilepsy. Magnetic resonance imaging (MRI) typically shows volume and signal changes of the mesiotemporal structures. However, recent studies indicate that imaging characteristics depend on the type of the associated antibody. The aim of the present study was to investigate early and chronic gray matter (GM) volume changes in LE by means of voxel-based morphometry (VBM).
  
  
  METHODS
  Optimized VBM analysis was applied to altogether 73 MRI volumes of 55 patients with antibody-associated LE. Based on the time point of MRI acquisition, patients were split into two separate groups to enable the evaluation of early (≤2 years after LE onset) and chronic (>2 years after LE onset) GM volume changes. In addition, separate analyses for the two most common LE subtypes in our study cohort, that is, glutamic acid decarboxylase (GAD)-associated LE and voltage-gated potassium channel (VGKC)-complex-associated LE were performed. Age- and gender-matched healthy subjects served as controls.
  
  
  RESULTS
  Referring to the entire LE group, VBM revealed bi-amygdalar GM volume increase in the early disease stage. In the chronic disease stage, amygdala enlargement had resolved and we found GM volume reduction in the right cerebellar hemisphere. In the subgroup analysis, VBM showed corresponding bi-amygdalar GM volume increase in VGKC-complex-associated LE on early MRI, whereas no changes were found in GAD-associated LE. In the chronic disease stage, VBM revealed left frontal GM volume increase in VGKC-complex-associated LE and right frontoparietal GM volume reduction in GAD-associated LE.
  
  
  CONCLUSIONS
  The present study provides further evidence of a predominant affection of the amygdala in the early disease stage of LE, which resolves during the later course of the disease. Furthermore, our results show that LE features distinct imaging characteristics depending on the associated antibody and thus may contribute to a better pathophysiologic understanding of this disease.
authors: Department of Epileptology, University of Bonn, Bonn, Germany.|Department of NeuroCognition/Imaging, Life & Brain Center, Bonn, Germany.
authors: Jan
authors: J
authors: Wagner
authors: Department of Epileptology, University of Bonn, Bonn, Germany.|Department of NeuroCognition/Imaging, Life & Brain Center, Bonn, Germany.|Center for Economics and Neuroscience, University of Bonn, Bonn, Germany.
authors: Bernd
authors: B
authors: Weber
authors: Department of Epileptology, University of Bonn, Bonn, Germany.|Department of NeuroCognition/Imaging, Life & Brain Center, Bonn, Germany.|Center for Economics and Neuroscience, University of Bonn, Bonn, Germany.
authors: Christian E
authors: CE
authors: Elger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000906:Antibodies / Q000097:blood; D002648:Child; D005260:Female; D005968:Glutamate Decarboxylase / Q000276:immunology; D066128:Gray Matter / Q000473:pathology*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D020363:Limbic Encephalitis / Q000097:blood / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D012189:Retrospective Studies; D055815:Young Adult
chemical_list: D000906:Antibodies; D005968:Glutamate Decarboxylase
keywords: Epilepsy; Glutamic acid decarboxylase; Magnetic resonance imaging; Onconeural; Voltage-gated potassium channel-complex; Voxel-based morphometry