However, a universally accepted CBA has not been adopted yet. IgG antibodies to myelin oligodendrocyte glycoprotein (MOG) detected by cell based assays (CBA) have been identified in a constantly expanding spectrum of CNS demyelinating disorders. of Molecular Neurobiology and Immunology, Hellenic Pasteur Institute, 127, Vas. 12 Tzartos NeuroDiagnostics, 3, Eslin str., Athens 11523, Greece Lab.10 Neurology Clinic, Venizeleio General Hospital, Knossos Ave, Heraklion 714 09, Greece.9 Neurology Department, Henry Dunant Hospital, Athens, Greece.8 Neurology Department, General Hospital of Nikaia, 3, Andrea Petrou Mandouvalou, Athens 184 54, Greece.7 Neurology Department, University Hospital of Patras, Rίo 265 04, Greece.6 Saint Luke's Hospital, Panorama, Thessaloniki 552 36, Greece.5 2nd Neurology Department, University Hospital of Thessaloniki "AHEPA", Thessaloniki, Greece.4 Neurology Department, University Hospital of Ioannina, Ioannina, Greece.3 1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, 72-74, Vas.Electronic address: 2 Tzartos NeuroDiagnostics, 3, Eslin str., Athens 11523, Greece Department of Biochemistry and Biotechnology, University of Thessaly, Larissa, Greece. Sofias Ave, Athens 11528, Greece Tzartos NeuroDiagnostics, 3, Eslin str., Athens 11523, Greece. 1 1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, 72-74, Vas.‘Leukodystrophy-like’ phenotype in children with myelin oligodendrocyte glycoprotein antibody-associated disease. (10) Hacohen Y, Rossor T, Mankad K, et al. Anti-myelin oligodendrocyte glycoprotein (MOG) antibodies in patients with optic neuritis and seizures. (9) Gutman JM, Kupersmith M, Galetta S, Kister I. Clinical spectrum and prognostic value of CNS MOG autoimmunity in adults: The MOGADOR study. (8) Cobo-Calvo A, Ruiz A, Maillart E, et al. Antibodies to MOG and AQP4 in children with neuromyelitis optica and limited forms of the disease. (5) Lechner C, Baumann M, Hennes EM, et al. Defining distinct features of anti-MOG antibody associated central nervous system demyelination. (4) Weber MS, Derfuss T, Metz I, Brück W. Comparison of myelin oligodendrocyte glycoprotein (MOG)-antibody disease and AQP4-IgG-positive neuromyelitis optica spectrum disorder (NMOSD) when they co-exist with anti-NMDA (N-methyl-D-aspartate) receptor encephalitis. 10 Leukodystrophies are genetic rare diseases that affect the central nervous system by disrupting myelination. One study described symptoms and MRI findings of MOG antibody disease in children under the age of 7 that were similar to leukodystrophies. 1 NMDA receptor encephalitis is an autoimmune encephalitis that can cause psychosis, issues with memory and language, and seizures. MOG antibody disease can also occur in relation to another condition called anti-N-methyl-D-aspartate (NMDA) receptor encephalitis. When a relapse occurs, the diagnosis of MOGAD is confirmed. In some, the MOG antibody persists, and relapses may occur.
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In many kids, the MOG antibody disappears within 1 year, and relapses do not occur. 4Ĭhildren can be found to have the MOG antibody in the setting of ADEM however, a positive MOG antibody test in the setting of ADEM does not necessarily imply a course of MOGAD. Those with MOG antibody disease are more likely to have both optic nerves affected at the same time, and if the symptoms are in only one eye, the other optic nerve may show subclinical atrophy. Paraparesis (weakness) of a limb or limbs.Paralysis (no motor function) of a limb or limbs.Loss or blurring of vision in one or both eyes.MOG antibody disease preferentially causes inflammation in the optic nerve, 8 but can also cause inflammation in the spinal cord, brain, and brainstem. 2022 Rare Neuroimmune Disorders Symposium.COVID-19 and Rare Neuroimmune Disorders.