GAD1 and stiff-person syndrome: A 41-year-old with a diagnosis of SPS admitted to the hospital as an emergency with prolonged and painful extensor spasms affecting the neck, back, arms, and legs. She had been bed-bound for several months. Regular medication included baclofen 40 mg tds, dantrolene sodium tds, fentanyl 25 mg path twice weekly, and up to 80 mg of parenteral diazepam per day, up to 25 mg of diamorphine. Anti-GAD antibodies were positive. Antispasmolytics and various disease-modifying treatments were tried over the year without remarkable benefit. During this hospitalization, she received rituximab.