Which antibody tests are most useful in the diagnosis of autoimmune encephalitis, and how should I interpret their results?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

The provided clinical guidelines and literature do not specifically detail which antibody tests are most useful for the diagnosis of autoimmune encephalitis or how their results should be interpreted.

However, the importance of neural antibodies in autoimmune neurological conditions is recognized . Autoantibodies are also discussed in the context of predicting, preventing, and treating neurological toxicity related to immune checkpoint inhibitors . While not specific to autoimmune encephalitis diagnosis, these references highlight the general role of autoantibodies in neurological disorders.

The NICE guideline on epilepsies in children, young people, and adults suggests considering autoimmune causes when investigating epilepsy . Autoimmune encephalitis can be an underlying cause of epilepsy, but this guideline does not specify the diagnostic antibody tests for the encephalitis itself .

Educational content only. Always verify information and use clinical judgement.