Publication:
Meningitis as early manifestation of anti-NMDAR encephalitis

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Issued Date

2014

Resource Type

Article

File Type

application/pdf

ISSN

18236138

Other identifier(s)

2-s2.0-84920094859

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Neurology Asia. Vol 19, No.4 (2014), p.413-415

Suggested Citation

Kittichanteera S., Apiwattanakul M. Meningitis as early manifestation of anti-NMDAR encephalitis. Neurology Asia. Vol 19, No.4 (2014), p.413-415. Retrieved from: https://hdl.handle.net/20.500.14740/6374

Title

Meningitis as early manifestation of anti-NMDAR encephalitis

Author(s)

Kittichanteera S.
 Apiwattanakul M.

Abstract

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a recently discovered immune mediated encephalitis. The syndrome typically occurs in children and young adult with initial presentations of psychiatric symptoms, seizures, followed by abnormal movement and dysautonomia. There is association with ovarian teratoma. We report here a 16-year-old girl with anti-NMDAR encephalitis, who present with meningitis as initial symptom, confirmed by pleocytosis in the cerebrospinal fluid and leptomeningeal enhancement in MRI. She subsequently manifested the more typical manifestations of oro-facial dyskinesia and choreoathetosis. The diagnosis was confirmed by the presence of anti- NMDAR antibody. She was treated with immunotherapy with clinical improvement and drop in the level of autoantibody. However the patient died due to septisemia. © 2014, ASEAN Neurological Association. All rights reserved.

Subject(s)

Methylprednisolone
 N methyl dextro aspartic acid receptor
 Tuberculostatic agent
 Adolescent
 Anti n methyl d aspartate receptor encephalitis
 Antibody detection
 Article
 Body temperature
 Cardiovascular disease
 Case report
 Cerebrospinal fluid analysis
 Choreoathetosis
 Clinical feature
 Controlled study
 Diagnostic test
 Female
 Fever
 Headache
 Human
 Human tissue
 Hypersalivation
 Image analysis
 Immunohistochemistry
 Leukocyte
 Meningitis
 Neuroimaging
 Neurologic examination
 Nuclear magnetic resonance imaging
 Orofacial dyskinesia
 Ovariectomy
 Ovary teratoma
 Physical examination
 Plasmapheresis
 Pleocytosis
 Polymerase chain reaction
 Septicemia
 Tuberculous meningitis

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URI

https://hdl.handle.net/20.500.14740/6374

Collections

Scopus: Year 1983-2021

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