Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with Anti-NMDA Encephalitis
Joint Authors
Mehr, Stephanie R.
Neeley, Roy C.
Wiley, Melissa
Kumar, Avinash B.
Source
Case Reports in Neurological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Anti-N-methyl-d-aspartate receptor encephalitis (anti-NMDARE) is autoimmune encephalitis primarily affecting young adults and children.
First described about a decade ago, it frequently manifests as a syndrome that includes progressive behavioral changes, psychosis, central hypoventilation, seizures, and autonomic instability.
Although cardiac arrhythmias often accompany anti-NMDARE, the need for long-term electrophysiological support is rare.
We describe the case of NMDARE whose ICU course was complicated by progressively worsening episodes of tachyarrhythmia-bradyarrhythmia and episodes of asystole from which she was successfully resuscitated.
Her life-threatening episodes of autonomic instability were successfully controlled only after the placement of a permanent pacemaker during her ICU stay.
She made a clinical recovery and was discharged to a skilled nursing facility after a protracted hospital course.
American Psychological Association (APA)
Mehr, Stephanie R.& Neeley, Roy C.& Wiley, Melissa& Kumar, Avinash B.. 2016. Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with Anti-NMDA Encephalitis. Case Reports in Neurological Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101322
Modern Language Association (MLA)
Mehr, Stephanie R.…[et al.]. Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with Anti-NMDA Encephalitis. Case Reports in Neurological Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101322
American Medical Association (AMA)
Mehr, Stephanie R.& Neeley, Roy C.& Wiley, Melissa& Kumar, Avinash B.. Profound Autonomic Instability Complicated by Multiple Episodes of Cardiac Asystole and Refractory Bradycardia in a Patient with Anti-NMDA Encephalitis. Case Reports in Neurological Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101322
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101322