Case report: Successful autologous hematopoietic stem cell transplantation in a patient with GAD antibody-spectrum disorder with rapidly progressive dementia

The prevalence of neurological syndromes associated with antibodies to glutamic acid decarboxylase is increasing. While cognitive impairment is a common feature of this condition, it seldom emerges as the primary symptom. In this study, we discuss a case of refractory dementia associated with the gl...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in neurology Vol. 14
Main Authors: Disserol, Caio César Diniz, Kowacs, Dora Pedroso, Nabhan, Samir Kanaan, Teive, Hélio Afonso Ghizoni, Kowacs, Pedro André
Format: Journal Article
Language:English
Published: Frontiers Media S.A 19-10-2023
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Abstract The prevalence of neurological syndromes associated with antibodies to glutamic acid decarboxylase is increasing. While cognitive impairment is a common feature of this condition, it seldom emerges as the primary symptom. In this study, we discuss a case of refractory dementia associated with the glutamic acid decarboxylase spectrum disorder. Interestingly, this case showed a favorable outcome following autologous hematopoietic stem cell transplantation. We also provide an in-depth review of the current literature on the use of this therapeutic approach for the treatment of this disease.
AbstractList The prevalence of neurological syndromes associated with antibodies to glutamic acid decarboxylase is increasing. While cognitive impairment is a common feature of this condition, it seldom emerges as the primary symptom. In this study, we discuss a case of refractory dementia associated with the glutamic acid decarboxylase spectrum disorder. Interestingly, this case showed a favorable outcome following autologous hematopoietic stem cell transplantation. We also provide an in-depth review of the current literature on the use of this therapeutic approach for the treatment of this disease.
Author Kowacs, Dora Pedroso
Teive, Hélio Afonso Ghizoni
Kowacs, Pedro André
Nabhan, Samir Kanaan
Disserol, Caio César Diniz
AuthorAffiliation 3 Blood and Marrow Transplantation Program, Hospital de Clínicas, Federal University of Paraná , Curitiba , Brazil
1 Department of Neurology, Instituto de Neurologia de Curitiba , Curitiba , Brazil
2 Department of Neurology, Complexo do Hospital de Clínicas da Universidade Federal do Paraná , Curitiba , Brazil
AuthorAffiliation_xml – name: 2 Department of Neurology, Complexo do Hospital de Clínicas da Universidade Federal do Paraná , Curitiba , Brazil
– name: 3 Blood and Marrow Transplantation Program, Hospital de Clínicas, Federal University of Paraná , Curitiba , Brazil
– name: 1 Department of Neurology, Instituto de Neurologia de Curitiba , Curitiba , Brazil
Author_xml – sequence: 1
  givenname: Caio César Diniz
  surname: Disserol
  fullname: Disserol, Caio César Diniz
– sequence: 2
  givenname: Dora Pedroso
  surname: Kowacs
  fullname: Kowacs, Dora Pedroso
– sequence: 3
  givenname: Samir Kanaan
  surname: Nabhan
  fullname: Nabhan, Samir Kanaan
– sequence: 4
  givenname: Hélio Afonso Ghizoni
  surname: Teive
  fullname: Teive, Hélio Afonso Ghizoni
– sequence: 5
  givenname: Pedro André
  surname: Kowacs
  fullname: Kowacs, Pedro André
BookMark eNpVkdtu1DAQhi1UpJalL9Arv0AWHxIn5gZVCz1IlbgArq2JPdl1lcSR7RTtw_CuuN0K0bnx-J-Zzxr_H8jZHGYk5IqzrZSd_jTMuMatYEJuuWhq3fF35IIrVVdC6Obsv_ycXKb0yEpIraWSF-TPDhLSiEuI-TP9sVqLKQ3rSGHNYQz7sCZ6wAlyWILH7C1NGSdqcRxpjjCnZYQ5Q_Zhpn6mQJeS45zpb58P9Pb6Ky1l3wd3rNKCNsd1os6nEB3GU0-ExbvxSJcY9rE87p-QOpwKw8NH8n6AMeHl67khv26-_dzdVQ_fb-931w-VrbnMFbdOuZYDOOi0Qq5tr8A6PqDuJW-5GljnsC63vtctl8xqpnnfOj2A1eUnNuT-xHUBHs0S_QTxaAJ48yKEuDcQy_IjmsY55NKKFpuhllBrxzrg2A0dsLou0oZ8ObGWtZ_Q2bJIhPEN9G1l9gezD0-GMyWEatpCECeCjSGliMO_Yc7Ms-PmxXHz7Lh5dVz-BQTjqR8
CitedBy_id crossref_primary_10_3389_fimmu_2023_1297340
Cites_doi 10.1007/s13760-022-01937-w
10.1056/NEJMra1708712
10.3389/fneur.2021.641024
10.1016/j.jns.2014.05.032
10.1038/s41409-021-01277-y
10.1177/17562864211003486
10.1038/s41582-022-00659-0
10.1001/jamaneurol.2014.1297
10.1186/1471-2377-11-156
10.1016/j.psc.2022.07.011
10.1016/j.jns.2017.08.3720
10.1111/nyas.12553
10.3747/co.26.5033
10.1016/j.braindev.2018.10.006
10.1007/s13311-022-01188-w
10.1093/brain/awz311
10.1212/WNL.0000000000011338
10.1016/j.arr.2021.101478
10.1016/j.jneuroim.2022.577915
10.1177/1756286421998906
10.1016/j.jalz.2011.03.005
10.1016/j.jcyt.2021.12.006
10.1007/s00415-020-10054-8
10.1007/s13760-021-01766-3
10.1002/alz.067009
10.1001/archneurol.2012.234
ContentType Journal Article
Copyright Copyright © 2023 Disserol, Kowacs, Nabhan, Teive and Kowacs. 2023 Disserol, Kowacs, Nabhan, Teive and Kowacs
Copyright_xml – notice: Copyright © 2023 Disserol, Kowacs, Nabhan, Teive and Kowacs. 2023 Disserol, Kowacs, Nabhan, Teive and Kowacs
DBID AAYXX
CITATION
5PM
DOA
DOI 10.3389/fneur.2023.1254981
DatabaseName CrossRef
PubMed Central (Full Participant titles)
Directory of Open Access Journals
DatabaseTitle CrossRef
DatabaseTitleList CrossRef


Database_xml – sequence: 1
  dbid: DOA
  name: Directory of Open Access Journals
  url: http://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1664-2295
ExternalDocumentID oai_doaj_org_article_5dde13c27e5f43a49d08a1e8f8a044f4
10_3389_fneur_2023_1254981
GroupedDBID 53G
5VS
9T4
AAFWJ
AAKDD
AAYXX
ACGFO
ACGFS
ACXDI
ADBBV
ADRAZ
AENEX
AFPKN
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
BCNDV
CITATION
DIK
E3Z
EMOBN
F5P
GROUPED_DOAJ
GX1
HYE
IAO
IEA
IHR
IHW
KQ8
M48
M~E
O5R
O5S
OK1
P2P
PGMZT
RNS
RPM
5PM
ID FETCH-LOGICAL-c413t-1cd6d71aada896e19cb6acd1fe9b31716f08de4e9bbb97130c9091b7d9fac9993
IEDL.DBID RPM
ISSN 1664-2295
IngestDate Tue Oct 22 15:16:28 EDT 2024
Tue Sep 17 21:29:33 EDT 2024
Thu Nov 21 22:09:23 EST 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Language English
License This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c413t-1cd6d71aada896e19cb6acd1fe9b31716f08de4e9bbb97130c9091b7d9fac9993
Notes These authors have contributed equally to this work
Edited by: Hans-Peter Hartung, Heinrich Heine University, Germany
Reviewed by: Petia Dimova, University Hospital St. Ivan Rilski, Bulgaria; Erdem Tüzün, Istanbul University, Türkiye; José Fidel Baizabal-Carvallo, University of Guanajuato, Mexico
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622657/
ParticipantIDs doaj_primary_oai_doaj_org_article_5dde13c27e5f43a49d08a1e8f8a044f4
pubmedcentral_primary_oai_pubmedcentral_nih_gov_10622657
crossref_primary_10_3389_fneur_2023_1254981
PublicationCentury 2000
PublicationDate 2023-10-19
PublicationDateYYYYMMDD 2023-10-19
PublicationDate_xml – month: 10
  year: 2023
  text: 2023-10-19
  day: 19
PublicationDecade 2020
PublicationTitle Frontiers in neurology
PublicationYear 2023
Publisher Frontiers Media S.A
Publisher_xml – name: Frontiers Media S.A
References Ren (ref24) 2021; 12
Alencar (ref22) 2017; 381
Dalakas (ref4) 2022; 19
Arinos (ref25) 2001; 345
Newsome (ref2) 2022; 369
Corsellis (ref15)
Tsiortou (ref1) 2021; 14
Jaime-Pérez (ref29) 2022; 24
Burt (ref28) 2021; 96
Day (ref13) 2022; 18
Matar (ref11) 2020; 143
Sanders (ref26) 2014; 71
Kass-Iliyya (ref27) 2021; 268
Hermann (ref10) 2022; 18
Leypoldt (ref17) 2015; 1338
Mahale (ref3) 2022; 123
Dintica (ref7) 2022; 45
Banks (ref9) 2021; 14
Dalmau (ref16) 2018; 378
McKhann (ref5) 2011; 7
(ref6) 2013
Takagi (ref23) 2011; 11
Geldmacher (ref8) 2004
Zhao (ref12) 2021; 72
Markakis (ref21) 2014; 343
Oxon (ref14) 1957; 62
Nagai (ref31) 2019; 41
Bazinet (ref30) 2019; 26
Burt (ref32) 2021; 56
Neto (ref18) 2016
Akkari (ref19) 2021; 122
Mirabelli-Badenier (ref20) 2012; 69
References_xml – volume: 345
  year: 2001
  ident: ref25
  article-title: The new England journal of medicine high-dose intravenous immune globulin for stiff-person syndrome a bstract background stiff-person syndrome is a disabling
  publication-title: N Engl J Med
  contributor:
    fullname: Arinos
– volume: 123
  start-page: 657
  year: 2022
  ident: ref3
  article-title: Anti-GAD antibodies associated autoimmunity presenting as isolated dementia: an expansion of GAD antibody-spectrum disorders
  publication-title: Acta Neurol Belg
  doi: 10.1007/s13760-022-01937-w
  contributor:
    fullname: Mahale
– volume: 62
  start-page: 1374
  year: 1957
  ident: ref14
  article-title: Hashimoto’s disease and encephalopathy lord brain
  publication-title: Br Med J
  contributor:
    fullname: Oxon
– volume: 378
  start-page: 840
  year: 2018
  ident: ref16
  article-title: Antibody-mediated encephalitis
  publication-title: N Engl J Med
  doi: 10.1056/NEJMra1708712
  contributor:
    fullname: Dalmau
– volume: 12
  start-page: 12
  year: 2021
  ident: ref24
  article-title: Case report: autoimmune encephalitis associated with anti-glutamic acid decarboxylase antibodies: a Pediatric case series
  publication-title: Front Neurol
  doi: 10.3389/fneur.2021.641024
  contributor:
    fullname: Ren
– volume: 343
  start-page: 192
  year: 2014
  ident: ref21
  article-title: Immunotherapy-responsive limbic encephalitis with antibodies to glutamic acid decarboxylase
  publication-title: J Neurol Sci
  doi: 10.1016/j.jns.2014.05.032
  contributor:
    fullname: Markakis
– volume: 56
  start-page: 1509
  year: 2021
  ident: ref32
  article-title: New autoimmune diseases after autologous hematopoietic stem cell transplantation for multiple sclerosis
  publication-title: Bone Marrow Transplant
  doi: 10.1038/s41409-021-01277-y
  contributor:
    fullname: Burt
– volume: 14
  start-page: 175628642110034
  year: 2021
  ident: ref1
  article-title: GAD antibody-spectrum disorders: progress in clinical phenotypes, immunopathogenesis and therapeutic interventions
  publication-title: Ther Adv Neurol Disord
  doi: 10.1177/17562864211003486
  contributor:
    fullname: Tsiortou
– volume: 18
  start-page: 363
  year: 2022
  ident: ref10
  article-title: Rapidly progressive dementias — aetiologies, diagnosis and management
  publication-title: Nat Rev Neurol
  doi: 10.1038/s41582-022-00659-0
  contributor:
    fullname: Hermann
– volume: 71
  start-page: 1296
  year: 2014
  ident: ref26
  article-title: Autologous stem cell transplantation for stiff person syndrome: two cases from the Ottawa blood and marrow transplant program
  publication-title: JAMA Neurol
  doi: 10.1001/jamaneurol.2014.1297
  contributor:
    fullname: Sanders
– volume: 11
  start-page: 11
  year: 2011
  ident: ref23
  article-title: Cognitive decline in a patient with anti-glutamic acid decarboxylase autoimmunity; case report
  publication-title: BMC Neurol
  doi: 10.1186/1471-2377-11-156
  contributor:
    fullname: Takagi
– volume: 45
  start-page: 677
  year: 2022
  ident: ref7
  article-title: Epidemiology and risk factors for dementia
  publication-title: Psychiatr Clin N Am
  doi: 10.1016/j.psc.2022.07.011
  contributor:
    fullname: Dintica
– volume: 381
  start-page: 536
  year: 2017
  ident: ref22
  article-title: Anti-GAD positive autoimmune encephalitis presenting with dementia, psychiatric symptoms and MS findings on the MRI: a case report
  publication-title: J Neurol Sci
  doi: 10.1016/j.jns.2017.08.3720
  contributor:
    fullname: Alencar
– start-page: 947
  volume-title: DSM-5 task force. Diagnostic and statistical manual of mental disorders: DSM-5
  year: 2013
  ident: ref6
– volume: 1338
  start-page: 94
  year: 2015
  ident: ref17
  article-title: Autoimmune encephalopathies
  publication-title: Ann N Y Acad Sci
  doi: 10.1111/nyas.12553
  contributor:
    fullname: Leypoldt
– volume: 26
  start-page: 187
  year: 2019
  ident: ref30
  article-title: A general practitioner’s guide to hematopoietic stem-cell transplantation
  publication-title: Curr Oncol
  doi: 10.3747/co.26.5033
  contributor:
    fullname: Bazinet
– volume: 41
  start-page: 301
  year: 2019
  ident: ref31
  article-title: Severe anti-GAD antibody-associated encephalitis after stem cell transplantation
  publication-title: Brain and Development
  doi: 10.1016/j.braindev.2018.10.006
  contributor:
    fullname: Nagai
– volume: 19
  start-page: 832
  year: 2022
  ident: ref4
  article-title: Stiff-person syndrome and GAD antibody-spectrum disorders: GABAergic neuronal excitability, immunopathogenesis and update on antibody therapies
  publication-title: Neurotherapeutics
  doi: 10.1007/s13311-022-01188-w
  contributor:
    fullname: Dalakas
– volume: 143
  start-page: 31
  year: 2020
  ident: ref11
  article-title: Cognitive fluctuations in Lewy body dementia: Towards a pathophysiological framework
  publication-title: Brain
  doi: 10.1093/brain/awz311
  contributor:
    fullname: Matar
– volume: 96
  start-page: e817
  year: 2021
  ident: ref28
  article-title: Autologous hematopoietic stem cell transplantation for stiff-person Spectrum disorder: a clinical trial
  publication-title: Neurology
  doi: 10.1212/WNL.0000000000011338
  contributor:
    fullname: Burt
– start-page: 27
  volume-title: Clinics in geriatric medicine
  year: 2004
  ident: ref8
  article-title: Differential diagnosis of dementia syndromes
  contributor:
    fullname: Geldmacher
– ident: ref15
  contributor:
    fullname: Corsellis
– volume: 72
  year: 2021
  ident: ref12
  article-title: Risk of seizures and subclinical epileptiform activity in patients with dementia: A systematic review and meta-analysis
  publication-title: Ageing Res Rev
  doi: 10.1016/j.arr.2021.101478
  contributor:
    fullname: Zhao
– volume: 369
  start-page: 577915
  year: 2022
  ident: ref2
  article-title: Stiff person syndrome spectrum disorders; more than meets the eye
  publication-title: J Neuroimmunol
  doi: 10.1016/j.jneuroim.2022.577915
  contributor:
    fullname: Newsome
– volume: 14
  start-page: 175628642199890
  year: 2021
  ident: ref9
  article-title: Autoimmune encephalopathies presenting as dementia of subacute onset and rapid progression
  publication-title: Ther Adv Neurol Disord
  doi: 10.1177/1756286421998906
  contributor:
    fullname: Banks
– volume: 7
  start-page: 263
  year: 2011
  ident: ref5
  article-title: The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s association workgroups on diagnostic guidelines for Alzheimer’s disease
  publication-title: Alzheimers Dement
  doi: 10.1016/j.jalz.2011.03.005
  contributor:
    fullname: McKhann
– volume: 24
  start-page: 676
  year: 2022
  ident: ref29
  article-title: Hematopoietic stem cell transplantation for uncommon immune-mediated neurological disorders: A literature review
  publication-title: Cytotherapy
  doi: 10.1016/j.jcyt.2021.12.006
  contributor:
    fullname: Jaime-Pérez
– volume: 268
  start-page: 265
  year: 2021
  ident: ref27
  article-title: Autologous haematopoietic stem cell transplantation for refractory stiff-person syndrome: the UK experience
  publication-title: J Neurol
  doi: 10.1007/s00415-020-10054-8
  contributor:
    fullname: Kass-Iliyya
– volume: 122
  start-page: 1651
  year: 2021
  ident: ref19
  article-title: Subacute dementia revealing a limbic encephalitis with anti-GAD 65 antibodies in a young woman
  publication-title: Acta Neurol Belg
  doi: 10.1007/s13760-021-01766-3
  contributor:
    fullname: Akkari
– volume: 18
  start-page: e067009
  year: 2022
  ident: ref13
  article-title: Dissecting the neuropathological contributors to rapidly progressive dementia
  publication-title: Alzheimer Dementia
  doi: 10.1002/alz.067009
  contributor:
    fullname: Day
– volume: 69
  start-page: 1064
  year: 2012
  ident: ref20
  article-title: Anti-glutamic acid decarboxylase limbic encephalitis without epilepsy evolving into dementia with cerebellar ataxia
  publication-title: Arch Neurol
  doi: 10.1001/archneurol.2012.234
  contributor:
    fullname: Mirabelli-Badenier
– year: 2016
  ident: ref18
  contributor:
    fullname: Neto
SSID ssj0000399363
Score 2.3703907
Snippet The prevalence of neurological syndromes associated with antibodies to glutamic acid decarboxylase is increasing. While cognitive impairment is a common...
SourceID doaj
pubmedcentral
crossref
SourceType Open Website
Open Access Repository
Aggregation Database
SubjectTerms autoimmune diseases of the nervous system
dementia
encephalitis
glutamic acid decarboxylase
neurocognitive disorders
Neurology
SummonAdditionalLinks – databaseName: Directory of Open Access Journals
  dbid: DOA
  link: http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELagB8QFlZdYXpoDN5Q2TpzY5lb6gAtcChK3aPwSkZbsqjRI_TH8187Yoepy4cIxiRUnnolnvsnMN0K88U0deqexqpNPBFA6WWGHbaVNapWyRmHITWzP9edv5uSUaXJuWn1xTlihBy4Ld9jR9ydb3-jYJdWisqE2KKNJBmulUmECrftbYCrvwWx3-7ZUyRAKs4eJ-SEPuFn4gWRQZOSOJcqE_X8nRt6yNGf74sHiIsJRebSH4k6cHol7n5af4I_F72OyPFCC_e_gfM4tD9O8BpxzM1rC8pCpWDfbzcg1isBkzcAherjMXOZrLAVHE4wTICzcqsAxWfhwdAJ0eXSbcFXlOsyL-QeEhaSzjLnA7RjWV5CTuziP9leEkOOMIz4RX89Ovxx_rJYuC5UnA3ZZSR_6oCViQGP7KK13PfogU7SuZTKdVJsQFR05ZwnS1t6Sj-F0sAk9uZftU7E3bab4TEDXKt3ExqUGHQGh2tF-gczOIzVNoXEl3v5Z8WFbyDQGAiEsnyHLZ2D5DIt8VuI9C-VmJBNh5xOkHsOiHsO_1GMlzI5Id-62e2Uav2d6bdIm8kk7_fx_zP9C3Od3Ymsn7UuxRzKLr8Tdn2F-nTX2GulI99s
  priority: 102
  providerName: Directory of Open Access Journals
Title Case report: Successful autologous hematopoietic stem cell transplantation in a patient with GAD antibody-spectrum disorder with rapidly progressive dementia
URI https://pubmed.ncbi.nlm.nih.gov/PMC10622657
https://doaj.org/article/5dde13c27e5f43a49d08a1e8f8a044f4
Volume 14
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELbYHhAXxFNsgcoHbii7ceLEdm9l28KlCKkgcYvGL4i0m6yWBqk_pv-VGSeLuhw5JnYSJzPyzDeZ-Yaxd67IfW0VZHl0EQFKJTKooMyUjqWURkvwqYnttfr8XZ9fEE1Ova-FSUn7zraLbr1ZdO3PlFu53bjlPk9s-eVqhTAGvQaE8jM2Q-fwHkZP-y_Z3LocK2QQgZllJG7IBTUKXwgCRFocWKFE1v9vUuQ9K3P5hD2e3EN-Ni7jKXsQumfs4dX0A_w5u1uh1eFjoP-UXw-p3WEc1hyG1IgWcTxPNKz9tm-pPpETUTOn8Dy_STzmaxiLjTredhz4xKvKKR7LP56dcxxube9vs1SDuRs23E8EneOcHWxbv77lKbGLcmh_B-5TjLGFF-zb5cXX1ads6rCQOTReN5lwvvZKAHjQpg7COFuD8yIGY0si0om59kHikbUG4WzuDPoXVnkTwaFrWb5kR13fhVeMV6VURShsLMAiCMot7hVAzDxC4SMUzNn7_RdvtiORRoMAhOTTJPk0JJ9mks-cfSCh_J1JJNjpRL_70Uyq0FS4NYvSFSpUUZYgjc81iKCjhlzKKOdMH4j04G6HI6hpiVp7r1nH_3_pa_aI3oTsmzBv2BFKKrxls19-OEmA_yRp6x_ixfd8
link.rule.ids 230,315,729,782,786,866,887,2106,27933,27934,53800,53802
linkProvider National Library of Medicine
linkToHtml http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELZokYALb8QWWnzghrIbJ05scyvbliK6FVKLxC0av0qk3WS1bSr1x_BfGTvZqttjj4mdlz7HM5898w0hn02W2lILSFJvPBKUgiVQQJ4I6XPOleRgYxHbM3H6Rx4cBpmccp0LE4P2ja7HzXwxbuq_MbZyuTCTdZzY5NdsijQGvQak8lvkMf6waXqHpccZOFjdMu9zZJCDqYkP6pDjUCp8zAIlkmzDDkW5_vthkXfszNGLh77hS_J88Czpft_-ijxyzWvyZDbsnb8h_6ZosGi_R_CVnnWxUqLv5hS6WMO27S5pVHBtl20dUhtp0HimYWWfXkUJ9Dn0eUoNrRsKdJBkpWEpl37fP6DYXOvW3iQxfXPVLagdtD37PitY1nZ-Q2NMWAi_vXbUxuXJGt6S30eH59PjZCjOkBi0e1cJM7a0ggFYkKp0TBldgrHMO6XzoMHjU2kdxyOtFTLh1Ch0TbSwyoNBrzR_R7abtnHvCS1yLjKXaZ-BRv6UapxmIIj6MIGPEDAiX9ZQVcteg6NC7hKArSKwVQC2GoAdkW8BzdueQT87nmhXF9WAUVXgrM5ykwlXeJ4DVzaVwJz0ElLOPR8RuTEWNu622YJDIKpyryHfefiln8jT4_PZSXXy4_TnB_IsfFUwk0x9JNuImtslW5e224uD_T-GbAxM
linkToPdf http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1Lb9QwELZokSoulKdYysMHbii7ceLEdm9ltwsIWlUqSNyi8Qsi7SbRtkHqj-G_MnayqMsRjomdlz7HM5898w0hb0yW2lILSFJvPBKUgiVQQJ4I6XPOleRgYxHbS3H-TS5Og0zO8TYXJgbtG11Pm9V62tQ_YmxltzazbZzY7OJsjjQGvQak8p31sz1yF3_aNLvF1OMsHCxvmQ95MsjD1MwHhchpKBc-ZYEWSbZji6Jk_9-hkbdszfLwf97yAbk_epj0ZOjzkNxxzSNycDbuoT8mv-ZouOiwV3BML_tYMdH3Kwp9rGXb9lc0Krm2XVuHFEcatJ5pWOGn11EKfQVDvlJD64YCHaVZaVjSpe9PFhSba93amySmcW76NbWjxufQZwNdbVc3NMaGhTDcn47auExZwxPydXn6Zf4hGYs0JAbt33XCjC2tYAAWpCodU0aXYCzzTuk8aPH4VFrH8UhrhYw4NQpdFC2s8mDQO82fkv2mbdwzQouci8xl2megkUelGqcbCOI-TOAjBEzI2y1cVTdocVTIYQK4VQS3CuBWI7gT8i4g-qdn0NGOJ9rN92rEqSpwdme5yYQrPM-BK5tKYE56CSnnnk-I3BkPO3fbbcFhENW5t7A___dLX5ODi8Wy-vzx_NMRuRc-KlhLpl6QfQTNvSR7V7Z_Fcf7b74oDsw
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Case+report%3A+Successful+autologous+hematopoietic+stem+cell+transplantation+in+a+patient+with+GAD+antibody-spectrum+disorder+with+rapidly+progressive+dementia&rft.jtitle=Frontiers+in+neurology&rft.au=Disserol%2C+Caio+C%C3%A9sar+Diniz&rft.au=Kowacs%2C+Dora+Pedroso&rft.au=Nabhan%2C+Samir+Kanaan&rft.au=Teive%2C+H%C3%A9lio+Afonso+Ghizoni&rft.date=2023-10-19&rft.pub=Frontiers+Media+S.A&rft.eissn=1664-2295&rft.volume=14&rft_id=info:doi/10.3389%2Ffneur.2023.1254981&rft.externalDBID=PMC10622657
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1664-2295&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1664-2295&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1664-2295&client=summon