Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies

Anti-GAD antibody syndrome is a result of the production of antibodies against glutamic acid decarboxylase (GAD), the main enzyme responsible for the production of gamma-aminobutyric acid (GABA). Several neurological manifestations including cerebellar ataxia and stiff person syndrome have been repo...

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Main Authors: Sinali O. Seneviratne, Katherine A. Buzzard, Belinda Cruse, Mastura Monif
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Immunology
Online Access:http://dx.doi.org/10.1155/2020/8454532
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author Sinali O. Seneviratne
Katherine A. Buzzard
Belinda Cruse
Mastura Monif
author_facet Sinali O. Seneviratne
Katherine A. Buzzard
Belinda Cruse
Mastura Monif
author_sort Sinali O. Seneviratne
collection DOAJ
description Anti-GAD antibody syndrome is a result of the production of antibodies against glutamic acid decarboxylase (GAD), the main enzyme responsible for the production of gamma-aminobutyric acid (GABA). Several neurological manifestations including cerebellar ataxia and stiff person syndrome have been reported in association with anti-GAD antibodies. In this paper, we present a case of a young woman with anti-GAD antibodies who initially presented with cerebellar ataxia followed by stiff person syndrome three and a half years later. Having both cerebellar ataxia and stiff person syndrome is a rare occurrence in anti-GAD antibody syndrome. We emphasise the importance of long-term follow-up of patients with anti-GAD antibody syndrome, as delayed neurological manifestations can occur.
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institution Kabale University
issn 2090-6609
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series Case Reports in Immunology
spelling doaj-art-3dd24bbfe5234c5da0273e41a6e62d102025-02-03T06:43:39ZengWileyCase Reports in Immunology2090-66092090-66172020-01-01202010.1155/2020/84545328454532Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD AntibodiesSinali O. Seneviratne0Katherine A. Buzzard1Belinda Cruse2Mastura Monif3Curtin University, Kent Street, Bentley, Perth, Western Australia, AustraliaDepartment of Neurology, Royal Melbourne Hospital, Parkville, Melbourne, Victoria, AustraliaDepartment of Neurology, Royal Melbourne Hospital, Parkville, Melbourne, Victoria, AustraliaDepartment of Neurology, Royal Melbourne Hospital, Parkville, Melbourne, Victoria, AustraliaAnti-GAD antibody syndrome is a result of the production of antibodies against glutamic acid decarboxylase (GAD), the main enzyme responsible for the production of gamma-aminobutyric acid (GABA). Several neurological manifestations including cerebellar ataxia and stiff person syndrome have been reported in association with anti-GAD antibodies. In this paper, we present a case of a young woman with anti-GAD antibodies who initially presented with cerebellar ataxia followed by stiff person syndrome three and a half years later. Having both cerebellar ataxia and stiff person syndrome is a rare occurrence in anti-GAD antibody syndrome. We emphasise the importance of long-term follow-up of patients with anti-GAD antibody syndrome, as delayed neurological manifestations can occur.http://dx.doi.org/10.1155/2020/8454532
spellingShingle Sinali O. Seneviratne
Katherine A. Buzzard
Belinda Cruse
Mastura Monif
Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies
Case Reports in Immunology
title Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies
title_full Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies
title_fullStr Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies
title_full_unstemmed Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies
title_short Cerebellar Ataxia Followed by Stiff Person Syndrome in a Patient with Anti-GAD Antibodies
title_sort cerebellar ataxia followed by stiff person syndrome in a patient with anti gad antibodies
url http://dx.doi.org/10.1155/2020/8454532
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