Fatigue predicts quality of life after leucine-rich glioma-inactivated 1-antibody encephalitis

Ann Clin Transl Neurol. 2024 Apr;11(4):1053-1058. doi: 10.1002/acn3.52006. Epub 2024 Feb 1.

Abstract

Patient-reported quality-of-life (QoL) and carer impacts are not reported after leucine-rich glioma-inactivated 1-antibody encephalitis (LGI1-Ab-E). From 60 patients, 85% (51 out of 60) showed one abnormal score across QoL assessments and 11 multimodal validated questionnaires. Compared to the premorbid state, QoL significantly deteriorated (p < 0.001) and, at a median of 41 months, fatigue was its most important predictor (p = 0.025). In total, 51% (26 out of 51) of carers reported significant burden. An abbreviated five-item battery explained most variance in QoL. Wide-ranging impacts post-LGI1-Ab-E include decreased QoL and high caregiver strain. We identify a rapid method to capture QoL in routine clinic or clinical trial settings.

MeSH terms

  • Autoantibodies
  • Encephalitis*
  • Fatigue / etiology
  • Glioma*
  • Humans
  • Intracellular Signaling Peptides and Proteins
  • Leucine
  • Quality of Life

Substances

  • Leucine
  • Intracellular Signaling Peptides and Proteins
  • Autoantibodies