PSYCHOTIC DISORDERS GENERATED BY AUTOIMMUNE ENCEPHALITIS (CLINICAL CASE)

Rev Med Chir Soc Med Nat Iasi. 2015 Oct-Dec;119(4):1051-4.

Abstract

Encephalitis is a brain inflammation, which could involve also the meninges. The etiology of encephalitis could be: viral, bacterial, fungal or autoimmune. Anti-NMDAR encephalitis is an immune disorder, easy to diagnose and is a treatable condition. Most patients with anti-NMDAR encephalitis develop a multistage illness that progresses from psychosis, memory deficits, seizures, to catatonic state and breathing instability. We present a case report of a 20-year old woman, who presented: amnesia, visual hallucination, illusions, seizures after that occurred following autoimmune encephalitis. The exact incidence of anti-NMDAR encephalitis is unknown, but it seems to be more frequent than any other known paraneoplastic encephalitis. The present case is important considering that autoimmune encephalitis is a rare frequency disorder in Romania, with patients presenting resounding psychiatric and neurological manifestations.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amnesia / etiology
  • Encephalitis / complications*
  • Encephalitis / diagnosis*
  • Encephalitis / therapy
  • Female
  • Fluid Therapy
  • Glucocorticoids / therapeutic use
  • Hallucinations / etiology
  • Hashimoto Disease / complications*
  • Hashimoto Disease / diagnosis*
  • Hashimoto Disease / therapy
  • Humans
  • Illusions / etiology
  • Psychotic Disorders / diagnosis*
  • Psychotic Disorders / etiology*
  • Psychotic Disorders / therapy
  • Seizures / etiology
  • Treatment Outcome

Substances

  • Glucocorticoids

Supplementary concepts

  • Hashimoto's encephalitis