Neuro-Muscular Disease and the Immune System

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Identifier 20230315_nanos_neuroimmunology1_03
Title Neuro-Muscular Disease and the Immune System
Creator Umapathi Thirugnanam, MD
Affiliation National Neuroscience Institute, Singapore
Subject Stiff Person Syndrome; Tetanus; Anti-MuSK ab MG; Guillain-Barré Syndrome; Diphtheric Neuropathy
Description The interneuron plays an integral role in the dance between agonist and antagonist muscles, alternating contraction and relaxation of skeletal muscles for smooth motor functions. In stiff-person syndrome, an autoimmune process disrupts the proper functioning of the spinal interneurons, resulting in cocontraction of agonist and antagonist muscles. Patients may have raised anti-glutamic acid decarboxylase (GAD) or anti-amphiphysin antibodies, the former associated with thymoma; the latter a marker of more general paraneoplastic phenomena.
Date 2023-03
References 1. Dalakas MC, Fujii M, Li M, McElroy B. The clinical spectrum of anti-GAD antibody-positive patients with stiff-person syndrome. Neurology. 2000 Nov 28;55(10):1531-5. 2. Bhatia R, Prabhakar S, Grover VK. Tetanus. Neurol India. 2002 Dec;50(4):398-407. 3. Waters P, Woodhall M, Coutinho E, Balint B, Lang B, Pettingill P, Carr A, Sheerin UM, Press R, Press R, Lunn MP, Lim M, Maddison P, Meinck HM, Vandenberghe W, Vincent A. Glycine receptor antibodies in PERM and related syndromes: characteristics, clinical features and outcomes. Brain.2014 Aug;137(Pt 8):2178-92. Erratum in: Brain. 2014 Dec;137(Pt 12):e315. Erratum in: Brain. 2014 Jan;137(Pt 1):1. 4. Hutchinson M, Waters P, McHugh J, Gorman G, O'Riordan S, Connolly S, Hager H, Yu P, Becker CM, Vincent A. Progressive encephalomyelitis, rigidity, and myoclonus: a novel glycine receptor antibody. Neurology. 2008 Oct 14;71(16):1291-2. 5. Dekker MC, Urasa SJ, Kinabo G, Maro V, Howlett WP. A Report of Stiff Person Syndrome in Tanzania with First Epidemiological Figures for Sub-Saharan Africa. Neuroepidemiology. 2015;45(2):109-10.
Language eng
Format video/mp4
Type Image/MovingImage
Source 2023 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2023: Neuroimmunology: https://novel.utah.edu/collection/NAM/toc/
Collection Neuro-Ophthalmology Virtual Education Library: NANOS Annual Meeting Collection: https://novel.utah.edu/collection/nanos-annual-meeting-collection/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2023. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6jrd81k
Setname ehsl_novel_nam
ID 2386005
Reference URL https://collections.lib.utah.edu/ark:/87278/s6jrd81k