Gender issues of antibody-mediated diseases in neurology: (NMOSD/autoimmune encephalitis/MG)

Ayse Altintas, Justina Dargvainiene, Christiane Schneider-Gold, Nasrin Asgari, Ilya Ayzenberg, Andrea I. Ciplea, Ralf Junker, Frank Leypoldt, Klaus Peter Wandinger, Kerstin Hellwig*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

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Abstract

Neuromyelitis optica spectrum disorder (NMOSD), autoimmune encephalitis (AE), myasthenia gravis (MG) and Lambert-Eaton myasthenic syndrome (LEMS) are antibody-mediated neurological diseases. They have mostly female predominance, affecting many women during childbearing age. Interactions between the underlying disease (or necessary treatment) and pregnancy can occur in every of these illnesses. Herein, we present the characteristics of NMOSD, AE, MG and LEMS in general, and review published data regarding the influence of the different diseases on fertility, pregnancy, puerperium, treatment strategy during pregnancy and post-partum period, and menopause but also male factors. We summarise key elements that should be borne in mind when confronted with such cases.

Original languageEnglish
JournalTherapeutic Advances in Neurological Disorders
Volume13
Number of pages16
ISSN1756-2856
DOIs
Publication statusPublished - Jan 2020

Keywords

  • autoimmune encephalitis
  • Lambert-Eaton myasthenic syndrome
  • myasthenia gravis
  • neuromyelitis optica spectrum disease
  • pregnancy
  • sex differences
  • women

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