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Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids

MedGen UID:
1433964
Concept ID:
C3854437
Disease or Syndrome
Synonym: CLIPPERS
SNOMED CT: CLIPPERS - chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (773688007); Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (773688007)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
Concept ID:
CN307044
Finding
Source: Orphanet
clinical entity without genetic inheritance.
 
Monarch Initiative: MONDO:0017297
Orphanet: ORPHA284448

Definition

A rare neuroinflammatory disorder with characteristics of brainstem-predominant encephalomyelitis, which typically presents with cerebellar and cranial nerve manifestations (gait ataxia, dysarthria, visual disorders, parasthesia), as well as brainstem, myelopathy and cognitive findings that respond to steroid treatment. Punctate curvilinear post-gadolinium contrast enhancement predominantly in the pons and cerebellum is observed on brain MRI and prominent, perivascular, CD3+ T-cell predominantly lymphocytic inflammation in neuropathology. [from SNOMEDCT_US]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVChronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids

Professional guidelines

PubMed

Al-Chalabi M, DelCimmuto NR, Beran A, Devarasetty PP, Mhanna A, Mahfooz N, Sheikh A
Mult Scler Relat Disord 2022 Dec;68:104112. Epub 2022 Aug 18 doi: 10.1016/j.msard.2022.104112. PMID: 36029706
Taieb G, Mulero P, Psimaras D, van Oosten BW, Seebach JD, Marignier R, Pico F, Rigau V, Ueno Y, Duflos C, Fominykh V, Guiraud V, Lebrun-Frénay C, Camdessanché JP, Kerschen P, Ahle G, Téllez N, Rovira A, Hoang-Xuan K, Pelletier J, Labauge P; in cooperation with the French CLIPPERS group
J Neurol Neurosurg Psychiatry 2019 Sep;90(9):1027-1038. Epub 2019 May 9 doi: 10.1136/jnnp-2018-318957. PMID: 31072955
Tobin WO, Guo Y, Krecke KN, Parisi JE, Lucchinetti CF, Pittock SJ, Mandrekar J, Dubey D, Debruyne J, Keegan BM
Brain 2017 Sep 1;140(9):2415-2425. doi: 10.1093/brain/awx200. PMID: 29050399

Recent clinical studies

Etiology

Taieb G, Kaphan E, Duflos C, Lebrun-Frénay C, Rigau V, Thouvenot E, Duhin-Gand E, Lefaucheur R, Hoang-Xuan K, Coulette S, Ouallet JC, Menjot de Champfleur N, Tranchant C, Picard C, Fusaro M, Sepulveda FE, Labauge P, de Saint Basile G
Neurol Neuroimmunol Neuroinflamm 2021 May;8(3) Epub 2021 Mar 3 doi: 10.1212/NXI.0000000000000970. PMID: 33658321Free PMC Article
Cobo-Calvo A, Vukusic S, Marignier R
Curr Opin Neurol 2019 Jun;32(3):459-466. doi: 10.1097/WCO.0000000000000681. PMID: 30762607
Tobin WO, Guo Y, Krecke KN, Parisi JE, Lucchinetti CF, Pittock SJ, Mandrekar J, Dubey D, Debruyne J, Keegan BM
Brain 2017 Sep 1;140(9):2415-2425. doi: 10.1093/brain/awx200. PMID: 29050399
Höftberger R, Lassmann H
Handb Clin Neurol 2017;145:285-299. doi: 10.1016/B978-0-12-802395-2.00020-1. PMID: 28987176
Pittock SJ, Debruyne J, Krecke KN, Giannini C, van den Ameele J, De Herdt V, McKeon A, Fealey RD, Weinshenker BG, Aksamit AJ, Krueger BR, Shuster EA, Keegan BM
Brain 2010 Sep;133(9):2626-34. Epub 2010 Jul 17 doi: 10.1093/brain/awq164. PMID: 20639547

Diagnosis

Troxell RM, Christy A
Curr Neurol Neurosci Rep 2019 Nov 26;19(12):95. doi: 10.1007/s11910-019-1015-y. PMID: 31773416
Tobin WO, Guo Y, Krecke KN, Parisi JE, Lucchinetti CF, Pittock SJ, Mandrekar J, Dubey D, Debruyne J, Keegan BM
Brain 2017 Sep 1;140(9):2415-2425. doi: 10.1093/brain/awx200. PMID: 29050399
Zalewski NL, Tobin WO
Curr Neurol Neurosci Rep 2017 Sep;17(9):65. doi: 10.1007/s11910-017-0773-7. PMID: 28726127
Bag AK, Davenport JJ, Hackney JR, Roy R, Fathallah-Shaykh HM
Radiology 2014 Dec;273(3):940-7. doi: 10.1148/radiol.14131355. PMID: 25420171
Dudesek A, Rimmele F, Tesar S, Kolbaske S, Rommer PS, Benecke R, Zettl UK
Clin Exp Immunol 2014 Mar;175(3):385-96. doi: 10.1111/cei.12204. PMID: 24028073Free PMC Article

Therapy

Li EC, Lai QL, Cai MT, Fang GL, Fang W, Zheng Y, Du Y, Du BQ, Shen CH, Qiao S, Ding MP, Zhang YX
J Neurol 2024 Apr;271(4):1747-1766. Epub 2024 Jan 29 doi: 10.1007/s00415-024-12189-4. PMID: 38286842
Tobin WO, Guo Y, Krecke KN, Parisi JE, Lucchinetti CF, Pittock SJ, Mandrekar J, Dubey D, Debruyne J, Keegan BM
Brain 2017 Sep 1;140(9):2415-2425. doi: 10.1093/brain/awx200. PMID: 29050399
Zalewski NL, Tobin WO
Curr Neurol Neurosci Rep 2017 Sep;17(9):65. doi: 10.1007/s11910-017-0773-7. PMID: 28726127
Bag AK, Davenport JJ, Hackney JR, Roy R, Fathallah-Shaykh HM
Radiology 2014 Dec;273(3):940-7. doi: 10.1148/radiol.14131355. PMID: 25420171
Dudesek A, Rimmele F, Tesar S, Kolbaske S, Rommer PS, Benecke R, Zettl UK
Clin Exp Immunol 2014 Mar;175(3):385-96. doi: 10.1111/cei.12204. PMID: 24028073Free PMC Article

Prognosis

Li EC, Lai QL, Cai MT, Fang GL, Fang W, Zheng Y, Du Y, Du BQ, Shen CH, Qiao S, Ding MP, Zhang YX
J Neurol 2024 Apr;271(4):1747-1766. Epub 2024 Jan 29 doi: 10.1007/s00415-024-12189-4. PMID: 38286842
Zhang L, Liu XH, Jin F, Liu MX, Zhang M, Zhang Y, Zhou DB, Zhang W
J Clin Neurosci 2019 Aug;66:156-164. Epub 2019 May 11 doi: 10.1016/j.jocn.2019.04.022. PMID: 31088767
Cobo-Calvo A, Vukusic S, Marignier R
Curr Opin Neurol 2019 Jun;32(3):459-466. doi: 10.1097/WCO.0000000000000681. PMID: 30762607
Tian D, Zhu X, Xue R, Zhao P, Yao Y
Radiology 2018 Nov;289(2):572-577. doi: 10.1148/radiol.2018161475. PMID: 30332362
Pittock SJ, Debruyne J, Krecke KN, Giannini C, van den Ameele J, De Herdt V, McKeon A, Fealey RD, Weinshenker BG, Aksamit AJ, Krueger BR, Shuster EA, Keegan BM
Brain 2010 Sep;133(9):2626-34. Epub 2010 Jul 17 doi: 10.1093/brain/awq164. PMID: 20639547

Clinical prediction guides

Li EC, Lai QL, Cai MT, Fang GL, Fang W, Zheng Y, Du Y, Du BQ, Shen CH, Qiao S, Ding MP, Zhang YX
J Neurol 2024 Apr;271(4):1747-1766. Epub 2024 Jan 29 doi: 10.1007/s00415-024-12189-4. PMID: 38286842
Cao L, Liu M, Guo L, Li M, Xu M, Wang R
Medicine (Baltimore) 2023 Mar 17;102(11):e33211. doi: 10.1097/MD.0000000000033211. PMID: 36930124Free PMC Article
Zhang L, Liu XH, Jin F, Liu MX, Zhang M, Zhang Y, Zhou DB, Zhang W
J Clin Neurosci 2019 Aug;66:156-164. Epub 2019 May 11 doi: 10.1016/j.jocn.2019.04.022. PMID: 31088767
Blaabjerg M, Hemdrup AL, Drici L, Ruprecht K, Garred P, Höftberger R, Kristensen BW, Kondziella D, Sejbaek T, Hansen SW, Nielsen HH, Jensen P, Meyer M, Paul F, Lassmann H, Larsen MR, Illes Z
Front Immunol 2018;9:741. Epub 2018 Apr 23 doi: 10.3389/fimmu.2018.00741. PMID: 29740431Free PMC Article
Tobin WO, Guo Y, Krecke KN, Parisi JE, Lucchinetti CF, Pittock SJ, Mandrekar J, Dubey D, Debruyne J, Keegan BM
Brain 2017 Sep 1;140(9):2415-2425. doi: 10.1093/brain/awx200. PMID: 29050399

Recent systematic reviews

Al-Chalabi M, DelCimmuto NR, Beran A, Devarasetty PP, Mhanna A, Mahfooz N, Sheikh A
Mult Scler Relat Disord 2022 Dec;68:104112. Epub 2022 Aug 18 doi: 10.1016/j.msard.2022.104112. PMID: 36029706
Zhang L, Liu XH, Jin F, Liu MX, Zhang M, Zhang Y, Zhou DB, Zhang W
J Clin Neurosci 2019 Aug;66:156-164. Epub 2019 May 11 doi: 10.1016/j.jocn.2019.04.022. PMID: 31088767

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