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ArticleFrontiers in immunology2026

Case Report: Neurexin-3α-associated autoimmune encephalitis with co-existence of possible anti-MOG-associated involvement.

Rongchuan Li, Zhiqiang Lin, Jinhong Zhuang, Xiaoer Wei, Jingjiong Chen, Xiaofeng Xu

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Rongchuan Li *Department of Neurology, Jinjiang Municipal Hospital (Shanghai Sixth People's Hospital Fujian), Quanzhou, China.
Zhiqiang Lin *Department of Neurology, Jinjiang Municipal Hospital (Shanghai Sixth People's Hospital Fujian), Quanzhou, China.
Jinhong ZhuangDepartment of Neurology, Jinjiang Municipal Hospital (Shanghai Sixth People's Hospital Fujian), Quanzhou, China.
Xiaoer WeiInstitute of Diagnostic and Interventional Radiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jingjiong ChenDepartment of Neurology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiaofeng XuDepartment of Neurology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Autoimmune encephalitis (AE) associated with neurexin-3α antibodies is a rarely reported disorder that commonly presents with severe neuropsychiatric manifestations. Case presentation: We report a patient who tested positive for neurexin-3α and myelin oligodendrocyte glycoprotein (MOG) antibodies at low titers. The patient presented with seizures, mental and behavioral disturbances, and cognitive impairment. Brain MRI showed increased signal intensity in the bilateral hippocampus and leptomeningeal enhancement in the left cerebral hemisphere. Serum cell-based assay findings, confirmed by tissue-based assay, were positive for neurexin-3α antibodies. The patient was diagnosed with anti-neurexin-3α encephalitis, with possible concurrent anti-MOG-associated involvement. Clinical symptoms improved after treatment with glucocorticosteroids and intravenous immunoglobulin. Conclusion: Although overlapping antibodies in AE are relatively common, the co-occurrence of neurexin-3α and MOG antibodies has not been previously reported. This case provides new insights into the diagnosis and treatment of neurexin-3α-associated AE.

Indexed as

AutoantibodiesEncephalitisHashimoto DiseaseMyelin-Oligodendrocyte GlycoproteinMyelin Oligodendrocyte Glycoprotein Antibody-Associated DiseaseNeurexinsFemaleHumansMagnetic Resonance ImagingNerve Tissue ProteinsAutoantibodiesMOG protein, humanMyelin-Oligodendrocyte GlycoproteinNerve Tissue Proteinsneurexin IIIalphaNeurexinsaseptic meningitisautoimmune encephalitis (AE)leptomeningeal enhancementmyelin oligodendrocyte glycoprotein (MOG) antibodyneurexin-3α antibody

Identifiers

PMID42459650
PMCPMC13369241

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