IgG4-related leptomeningitis: a reversible cause of rapidly progressive cognitive decline

Neurology. 2014 Feb 11;82(6):540-2. doi: 10.1212/WNL.0000000000000100. Epub 2014 Jan 2.

Abstract

Immunoglobulin G4-related diseases (IgG4-RD) are a newly recognized category of diseases. CNS involvement in IgG4-RD includes hypophysitis(1) and intracranial or spinal manifestations of hypertrophic pachymeningitis.(2,3) We present a unique case of rapid cognitive decline due to IgG4-related leptomeningitis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Autoimmune Diseases of the Nervous System / complications
  • Autoimmune Diseases of the Nervous System / diagnosis
  • Autoimmune Diseases of the Nervous System / immunology*
  • Biopsy
  • Brain / pathology
  • Cognition Disorders / etiology
  • Cognition Disorders / immunology*
  • Female
  • Humans
  • Immunoglobulin G / immunology*
  • Magnetic Resonance Imaging
  • Meninges / pathology
  • Meningitis / complications
  • Meningitis / diagnosis
  • Meningitis / immunology*

Substances

  • Immunoglobulin G