Table 1

Antibody targets in SPS

Antibodies% positivity in SPSPresentation
GAD75%–80%Classical SPS, SPS plus
Amphiphysin~5%Paraneoplastic SPS, PERM (less known), encephalopathy, myelopathy, cerebellar ataxia, neuropathy
Glycine alpha1 receptor10%–15% of classical SPSPERM, partial SPS, seizures associated with high titres, chronic course. Glycine receptor alpha 1—IgG can predict response to immunotherapy 55
Gephyrin1 case reportSPS plus (encephalitis and epilepsy)
DPPX3%SPS plus (ataxia, hyperekplexia, autonomic, sensory, cognitive impairment, PERM (less known). Progressive course. CSF lymphocytic with intrathecal IgG production. Good response to immunotherapy, titres correlate with disease course
GABARAP antibodies70% SPS
Zic41 patient reported in a case seriesFluctuating eye lid ptosis and laryngeal spasms causing a stridor49
  • CSF, cerebrospinal fluid; DPPX, di-peptidyl-peptidase like protein 6; GABARAP, GABA receptor-associated protein; GAD, glutamic acid decarboxylase; PERM, progressive encephalomyelitis with rigidity and myoclonus; SPS, stiff-person syndrome.