Rj. Caselli et al., Nonvasculitic autoimmune inflammatory meningoencephalitis (NAIM): A reversible form of encephalopathy, NEUROLOGY, 53(7), 1999, pp. 1579-1581
Five patients, age 54 to 80 years, presented between 3 weeks and 18 months
after symptomatic onset of progressive cognitive decline, psychosis, and un
steady gait that proved to be due to a steroid-responsive nonvasculitic aut
oimmune inflammatory meningoencephalitic syndrome. CSF examination showed e
levated immunoglobulin (Ig)G index and IgG synthesis rate in all three pati
ents in whom it was checked, and brain biopsy revealed perivascular lymphoc
ytic infiltrates without vessel wall invasion.