RESUMO
N-methyl-D-aspartate receptor (NMDAR) encephalitis is a rare antibody-mediated autoimmune encephalitis often associated with an ovarian teratoma in adolescent females. Here we present a 17-year-old girl with only and unusual psychiatric symptoms as part of her NMDAR encephalitis in combination with a very small ovarian teratoma suspected by magnetic resonance (MR) imaging and finally histologically confirmed. We further review the literature of NMDAR encephalitis in combination with an ovarian teratoma and discuss the recommended radiological workup in children with a suspected ovarian tumor.
Assuntos
Encefalite Antirreceptor de N-Metil-D-Aspartato/complicações , Ansiedade/complicações , Depressão/complicações , Transtornos Dissociativos/complicações , Neoplasias Ovarianas/complicações , Teratoma/complicações , Adolescente , Encefalite Antirreceptor de N-Metil-D-Aspartato/diagnóstico por imagem , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias Ovarianas/diagnóstico por imagem , Teratoma/diagnóstico por imagemRESUMO
The spectrum of the methods available to treat hypersensitive teeth is very great. The chances for success in the use of these different therapies are equally variable. Faced with the already successful effort of the Nd:YAG laser in the treatment of exposed tooth necks, the effectiveness of the use of different settings of the Nd:YAG laser on exposed dentine was examined in this clinical study. In the case of comparison of the therapy success of the laser settings amongst one another, no significant difference could be found. This leads us to a conclusion, that laser irradiation is therapeutically effective at very low settings.