Anti-NMDAR Encephalitis: Higher Suspicious Needed for Earlier Diagnosis (Case Report, Literature Review and Diagnostic Criteria)
Joint Authors
Amugoda, Chanaka
Chini Foroush, Noushin
Akhlaghi, Hamed
Source
Case Reports in Neurological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Auto-immune mediated anti-NMDA receptor encephalitis is a very common delayed diagnosed encephalitis which predominately affecting young population.
Objectives.
This encephalitis is relatively unknown amongst emergency physicians and a majority of patients are admitted to psychiatric wards before their diagnosis is confirmed and appropriate treatments are commenced.
We reported a case of a 22-year-old female presented to our emergency department with acute psychiatric symptoms.
She was initially diagnosed with first presentation of acute psychosis and was hospitalised under mental health act.
further assessment in the emergency department identified possible an organic cause for her acute psychosis and she was later admitted under medical team after her mental health assessment order was revoke.
Several days later, her CSF result was positive with anti-NMDA receptor anti-bodies.
Appropriate treatments were instituted leading to her full recovery.
Conclusion.
This case was the first confirmed anti-NMDA receptor encephalitis in our emergency department.
It highlights the importance of thorough assessment of psychiatric presentations to emergency departments and consideration of auto-immune medicated encephalitis as one of the differential diagnosis in young patients presenting with first acute psychotic episode.
American Psychological Association (APA)
Amugoda, Chanaka& Chini Foroush, Noushin& Akhlaghi, Hamed. 2019. Anti-NMDAR Encephalitis: Higher Suspicious Needed for Earlier Diagnosis (Case Report, Literature Review and Diagnostic Criteria). Case Reports in Neurological Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141358
Modern Language Association (MLA)
Amugoda, Chanaka…[et al.]. Anti-NMDAR Encephalitis: Higher Suspicious Needed for Earlier Diagnosis (Case Report, Literature Review and Diagnostic Criteria). Case Reports in Neurological Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1141358
American Medical Association (AMA)
Amugoda, Chanaka& Chini Foroush, Noushin& Akhlaghi, Hamed. Anti-NMDAR Encephalitis: Higher Suspicious Needed for Earlier Diagnosis (Case Report, Literature Review and Diagnostic Criteria). Case Reports in Neurological Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141358
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141358