Anti-adenylate kinase 5 encephalitis: Case series and review of 18 F-DPA714 PET/MRI radiographic changes.
Siyu Dong, Xiaoyu Chen, Chenchen Duan et al.
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Case in brief
Two female patients, aged 15 and 65, presented with subacute cognitive decline and psychiatric disturbances. Both were found to have anti-adenylate kinase 5 antibodies and exhibited significant hippocampal atrophy on MRI. 18 F-DPA714 PET/MRI showed increased tracer uptake in multiple brain regions. The younger patient improved significantly after treatment, while the older patient had limited recovery.
Diagnostic / clinical pearl
Anti-adenylate kinase 5 encephalitis can present with prominent cognitive and psychiatric symptoms, and 18 F-DPA714 PET/MRI may be useful in assessing neuroinflammation.
Why it matters
The case highlights the potential role of B-cell immunotherapy in treating anti-AK5 encephalitis, suggesting a need for further research into targeted therapies.