CLIPPERS: pathology and diagnostic criteria

Evidence-based neurology checklist on clippers: pathology and diagnostic criteria: Major neuropathological features There is predominantly a perivascular lymphocytic infiltration This is made up mostly of CD3-positive T-lymphocytes There is associated mild B-lymphocyte infiltration There is…

Major neuropathological features

  • There is predominantly a perivascular lymphocytic infiltration
  • This is made up mostly of CD3-positive T-lymphocytes
  • There is associated mild B-lymphocyte infiltration
  • There is moderate macrophage infiltration

Other neuropathological features

Clinical diagnostic criteria

Radiological diagnostic criteria

Acronym

References

  1. Pittock SJ, Debruyne J, Krecke KN, et al. Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS). Brain 2010; 133:2626-2634.
  2. Simon NG, Parratt JD, Barnett MH, et al. Expanding the clinical, radiological and neuropathological phenotype of chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS). JNNP 2012; 83:15-22.
  3. Tobin WO, Guo Y, Krecke KN, et al. Diagnostic criteria for chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS). Brain 2017; 140:2415-2425.
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