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Medicine (Baltimore) ; 97(50): e13625, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30558047

RESUMO

RATIONALE: Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is an auto-immune and paraneoplastic encephalitis with prominent neuropsychiatric manifestations. The N-methyl-D-aspartate receptor is located in the forebrain and hippocampus and plays a role in learning and memory. PATIENT CONCERNS: A 29-year-old female patient with anti-NMDAR encephalitis, was reported and we also reviewed the literature and summarised the characteristics of the cases. DIAGNOSES: In the present study, we reported 1 patient with anti-NMDAR encephalitis diagnosed by the detection of anti-NMDAR antibodies in serum and cerebrospinal fluid (CSF). INTERVENTIONS: The patient received glucocorticoids and anti-epilepsy treatment as well as human immunoglobulin treatment. OUTCOMES: After treatment, the patient gradually regained consciousness and was discharged after 3 months of rehabilitation. At the follow-up 2 months later, the patient had the sequelae of memory impairment and limb movement disorders. LESSONS: An accurate early diagnosis and active treatment are crucial to the improvement in the prognosis of patients with anti-NMDAR receptor encephalitis.


Assuntos
Encefalite Antirreceptor de N-Metil-D-Aspartato , Anticonvulsivantes/administração & dosagem , Glucocorticoides/administração & dosagem , Imunoglobulinas/administração & dosagem , Receptores de N-Metil-D-Aspartato/imunologia , Adulto , Encefalite Antirreceptor de N-Metil-D-Aspartato/complicações , Encefalite Antirreceptor de N-Metil-D-Aspartato/diagnóstico , Encefalite Antirreceptor de N-Metil-D-Aspartato/fisiopatologia , Encefalite Antirreceptor de N-Metil-D-Aspartato/psicologia , Anticorpos/sangue , Anticorpos/líquido cefalorraquidiano , Diagnóstico Precoce , Feminino , Humanos , Imunomodulação , Transtornos da Memória/etiologia , Transtornos dos Movimentos/etiologia , Prognóstico , Resultado do Tratamento
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