Anti-MOG antibody disease (MOGAD): treatment

Evidence-based neurology checklist on anti-mog antibody disease (mogad): treatment: Acute treatment Methylprednisolone Plasma exchange Intravenous immunoglobulins (IVIg) Long-term maintenance treatment Ineffective treatments Treatment withdrawal

Acute treatment

  • Methylprednisolone
  • Plasma exchange
  • Intravenous immunoglobulins (IVIg)

Long-term maintenance treatment

Ineffective treatments

Treatment withdrawal

References

  1. Jarius S, Ruprecht K, Kleiter I, et al; in cooperation with the Neuromyelitis Optica Study Group (NEMOS). MOG-IgG in NMO and related disorders: a multicenter study of 50 patients. Part 2: Epidemiology, clinical presentation, radiological and laboratory features, treatment responses, and long-term outcome. J Neuroinflammation 2016; 13:280.
  2. Hacohen Y, Wong YY, Lechner C, et al. Disease course and treatment responses in children with relapsing myelin oligodendrocyte glycoprotein antibody-associated disease. JAMA Neurol 2018; 75:478-487.
  3. Chen JJ, Flanagan EP, Bhatti MT, et al. Steroid-sparing maintenance immunotherapy for MOG-IgG associated disorder. Neurology 2020; 95:e111-e120. 
  4. Vilardo M, Mahler JV, Leles Vieira de Souza B, et al. Effectiveness and safety of plasmapheresis in MOGAD attacks: a systematic review and meta-analysis. Neurology 2026; 107:e218300. 
  5. Tsantes E, Curti E, Siena E, Granella F. Successful intravenous immunoglobulin treatment in relapsing MOG-antibody-associated disease. Mult Scler Relat Disord 2019; 32:27-29.
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