Article Text

other Versions

PDF

Anti-NMDA-receptor encephalitis: unusual presentation of an uncommon condition
  1. Derrece K Reid,
  2. Stacey L Clardy
  1. Department of Neurology, Penn State M.S. Hershey Medical Center, Hershey, Pennsylvania, USA
  1. Correspondence to Dr Stacey L Clardy, Penn State M.S. Hershey Medical Center, Department of Neurology, EC037, PO Box 859, Hershey, PA 17033-0859, USA; staceylynnclardy{at}yahoo.com

Statistics from Altmetric.com

A 19-year-old woman with no significant past medical history presented to the hospital after a 1-week illness. Her symptoms began with 2 days of vomiting, diarrhoea and decreased sensation in the fingertips. She subsequently developed emotional labiality and auditory hallucinations characterised by a persistent background humming. On the fifth day of her illness, she developed dysarthria and expressive aphasia. Initial examination approximately 1 week from symptom onset was significant for expressive and receptive aphasia, inattention and disorganisation, and fluctuating mental status consistent with delirium, with no obvious motor deficits. Brain MRI revealed a left medial temporal T2 hyperintensity without enhancement on FLAIR (figure 1A). Cerebrospinal fluid (CSF) revealed 129 nucleated cells with a lymphocytic predominance and no red blood cells. Extensive …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.