LIMBIC ENCEPHALITIS VERSUS LESARGHUS– COMPARING THE SIMILARITIES

Main Article Content

Dr. Md. Ibran
Dr. Md. Tanwir Alam
Dr. Shahraf Naaz
Dr. Md. Raghib Ahmad Naz

Keywords

Lesar ghus; Acute Encephalitic Syndrome; Limbic Encephalitis; Autoimmune Encephalitis; Sarsam; Unani Medicine.

Abstract

Limbic encephalitis (LE), described in by Brierley et al., (1960) as “it is a rare neurological clinical entity of subacute course that causes neuropsychiatric symptoms where inflammation affects the limbic system, a part of the brain involved in emotions, memory, and behaviour.” It's often associated with autoimmune responses or can be paraneoplastic (related to cancer). The condition can present with a variety of symptoms, including memory problems, confusion, seizures, and psychiatric manifestations. In addition to the usual symptoms of encephalitis such as altered consciousness, fever, and focal neurological deficits, limbic encephalitis can present with neuropsychiatric manifestations and seizures. Autoimmune encephalitis is the supraordinate term to LE; this term is often used as a comprise for non-paraneoplastic and paraneoplastic forms. LE can be short-lived and subside quickly upon immunologic therapy; in other instances, it may transgress into epilepsy.


There is a disease mentioned in Unani literature, by the name Lesarghus, classified under sarsam which has signs and symptoms nearly similar to Limbic Encephalitis described in modern medicine. Lesarghus is a chronic condition caused due to ghair tabai Balgham (abnormal phlegm). Continuous fever, Yawning, Loss of memory, continuous sleepy feeling, Lymphadenopathy, Headache, Seizures/spasms & vomiting etc., are usual symptoms of Lesarghus. The purpose of this review is to describe the similarities between Lesarghus & Limbic encephalitis.

Abstract 69 | PDF Downloads 22

References

1. Tüzün E, Dalmau J. Limbic encephalitis and variants: classification, diagnosis and treatment. The Neurologist 2007;13 (5): 261–271.
2. Brierley JB, Corsellis JA, Hierons R et al. Subacute encephalitis of later adult life. Mainly affecting the limbic areas. Brain 1960;83 (3): 357–368.
3. Corsellis JA, Goldberg GJ, Norton AR. Limbic encephalitis" and its association with carcinoma. Brain. 1968;91 (3): 481–496.
4. Bakheit AM, Kennedy PG, Behan PO. Paraneoplastic limbic encephalitis: clinico-pathological correlations". J Neurol Neurosurg Psychiatry. 1990;53(12):1084–1088.
5. Limbic encephalitis. The Encephalitis Society. Retrieved 2017-12-23.(Cited on 24/01/2023)
6. https://www.researchgate.net/publication/345092268/figure/fig1/AS:1083905067229200@1635434514874/The-limbic-system-source.jpg. (Cited on 05/02/2023)
7. Anderson NE, Barber PA. Limbic encephalitis - a review. Journal of Clinical Neuroscience 2008; 15 (9): 961–971.
8. Gultekin SH, Rosenfeld MR, Voltz R, et al. Paraneoplastic limbic encephalitis: neurological symptoms, immunological findings and tumour association in 50 patients. Brain 2000; 123 (7): 1481–1494.
9. Graus F, Saiz A. Limbic encephalitis: a probably under-recognized syndrome. Neurologia 2005; 20(1): 24–30.
10. Buckley C, Oger J, Clover L, et al. Potassium channel antibodies in two patients with reversible limbic encephalitis. Ann Neurol. 2001;50(1):73–78.
11. Vincent A, Buckley C, Schott JM, et al. Potassium channel antibody-associated encephalopathy: a potentially immunotherapy-responsive form of limbic encephalitis". Brain 2004;127(3):701–712.
12. Thieben MJ, Lennon VA, Boeve BF, et al. Potentially reversible auto-immune limbic encephalitis with neuronal potassium channel antibody. Neurology 2004; 62(7):1177–1182.
13. Nicholas D. Clinical, Magnetic Resonance Imaging, and Electroencephalographic Findings in Paraneoplastic Limbic Encephalitis. Mayo Clinic Proceedings. 2003;78(11): 1363–1368.
14. Horst, Urbach. Serial MRI of limbic encephalitis. Neuroradiology 2006;48(6): 380–386.
15. Santiago C, Puig MD, Jurado S, Llorens RS, Barrios RA, Enrique J, Rebolleda F. Limbic Encephalitis Diagnosed With 18F-FDG PET/CT". Clinical Nuclear Medicine. 2016;41 (2): e101–103.
16. Kirmani NA. Moalajate Sharha-e-Asbab (Complete translation by Mohammad Kabiruddin). Idara Kitabul Shifa. New Delhi. 2011:45-53.
17. Khan MA. Akseere azam (Urdu translation by Hakim Mohammad Kabiruddin). Ejaz Publishing house. New Delhi. 2010: 83-99.
18. Ibn Sina. Kulliyat e Qanoon, Part 2. (Urdu translated by Hakim Kabiruddin). Idara Kitabul Shifa. New Delhi. 2015:1-60.
19. Arzani HMA. Ikseere Azam (urdu translation by Allama Hakim Mohd Kabiruddin). New Delhi. Ajaz publishing house daryaganj; 2003:155-63.
20. Razi AM. Kitabul Mansoori (Urdu translation). CCRUM; 1991: 320.

Most read articles by the same author(s)