What is Mayo Clinic's approach to the diagnosis and treatment of autoimmune neurological conditions? Patients are seen by physicians with expertise in diagnosing and managing the sequelae of CNS autoimmunity — not only neurologists but also psychiatrists, rheumatologists and neuropsychologists.
There are many autoimmune disorders that affect the brain, nerves, and muscles—the most common of which is multiple sclerosis. In MS, the immune system attacks myelin, which lines our nerve cells and helps signals transmit quickly from the brain and spinal cord to the rest of our body's nerves and muscles.
These include central nervous system demyelinating disorders such as multiple sclerosis and neuromyelitis optica, paraneoplastic, and other autoimmune encephalomyelitis and autoimmune inflammatory myositis and demyelinating neuropathies.
1. Headache. Headaches are one of the most common neurological disorders—and there are a variety of different kinds of headaches, such as migraines, cluster headaches, and tension headaches.
What is Guillain-Barré syndrome? Guillain-Barré syndrome (GBS) is a rare neurological disorder in which your immune system mistakenly attacks part of the peripheral nervous system—the network of nerves located outside of the brain and spinal cord.
Hashimoto's encephalitis: This includes several autoimmune disorders that usually affect women who are about 50 years of age. We make a diagnosis using MRI, EEG, cerebrospinal fluid analysis, hormonal and metabolic blood screens, and viral studies.
One of the most commonly ordered tests is the antinuclear antibody (ANA) test. ANA may be positive with a variety of autoimmune diseases, including lupus, Sjögren syndrome, rheumatoid arthritis, and autoimmune hepatitis.
In some individuals, common infections can trigger an abnormal autoimmune response, whereby antibodies produced to destroy a harmful pathogen (i.e., bacteria, virus), mistakenly attack healthy cells in the brain. This can cause inflammation in the brain and result in an onset of various neuropsychiatric symptoms.
Cognitive dysfunction, or what many refer to as "brain fog" or "lupus fog," is often experienced by those who have lupus. The symptoms of lupus fog take many forms, and it affects everyone differently. It can be confusing and frustrating, but you are not alone in the experience.
White matter lesions (WML) on brain magnetic resonance imaging (MRI) are common findings and in high percentage of cases they imply further diagnosis of multiple sclerosis (MS) and related demyelinating disorders.
While it is commonly known that stress can be a risk factor for anxiety and depression, it can also be a risk factor for neurological disorders such as [3]: Headaches. Migraines.
Our brain, spinal cord and nerves are the main components of the nervous system. But if this system is not working in a coordinated way, neurological symptoms arise. Common signs of a problem are headaches, blurry vision, fatigue, numbness in the legs or arms, tremors, and slurred speech.
The exact cause of autoimmune disorders is unknown. One theory is that some microorganisms (such as bacteria or viruses) or drugs may trigger changes that confuse the immune system. This may happen more often in people who have genes that make them more prone to autoimmune disorders.
Autoimmune diseases can affect many types of tissues and nearly any organ in your body. They may cause a variety of symptoms including pain, tiredness (fatigue), rashes, nausea, headaches, dizziness and more. Specific symptoms depend on the exact disease.
On a basic level, autoimmune disease occurs because the body's natural defenses — the immune system — attack the body's own healthy tissue. Researchers have several ideas about why this happens. When the body senses danger from a virus or infection, the immune system kicks into gear and attacks it.
It has long been observed that inflamma- tion occurs in the brains and spinal cords of people with a specific kind of MS called relapsing-remitting MS. The inflammation can be measured in several ways. First, it can be seen on an MRI scan of the brain.
MRI techniques such as proton magnetic resonance spectroscopy (1H-MRS) may be promising for noninvasive evaluation of neuroinflammation.
Spinal tap, known as a lumbar puncture.
Changes in this fluid can point to infection and inflammation in the brain. Sometimes samples of CSF can be tested to identify the cause. This may include testing for infection or presence of antibodies associated with autoimmune encephalitis.