CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma
Delirium, a major psychiatric emergency commonly encountered in alcohol withdrawal state, can have various aetiologies. Here we present a case of protracted delirium in an alcohol dependent patient, which on detailed neurological workup was diagnosed to be autoimmune encephalitis with CASPR2 (contac...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Indian Psychiatric Society (Kerala State Branch
2021-06-01
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| Series: | Kerala Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://kjponline.com/index.php/kjp/article/view/265 |
| _version_ | 1818937879433314304 |
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| author | Arya Jith Kathleen Anne Mathew Dinesh Narayanan Sheen Maria Jacob |
| author_facet | Arya Jith Kathleen Anne Mathew Dinesh Narayanan Sheen Maria Jacob |
| author_sort | Arya Jith |
| collection | DOAJ |
| description | Delirium, a major psychiatric emergency commonly encountered in alcohol withdrawal state, can have various aetiologies. Here we present a case of protracted delirium in an alcohol dependent patient, which on detailed neurological workup was diagnosed to be autoimmune encephalitis with CASPR2 (contactin-associated protein-like 2) antibodies. Subsequent treatment with immunotherapy and steroids lead to the resolution of symptoms. |
| first_indexed | 2024-12-20T05:58:58Z |
| format | Article |
| id | doaj.art-888473e1a11748fb9a629361399e8f60 |
| institution | Directory Open Access Journal |
| issn | 0377-0699 2395-1486 |
| language | English |
| last_indexed | 2024-12-20T05:58:58Z |
| publishDate | 2021-06-01 |
| publisher | Indian Psychiatric Society (Kerala State Branch |
| record_format | Article |
| series | Kerala Journal of Psychiatry |
| spelling | doaj.art-888473e1a11748fb9a629361399e8f602022-12-21T19:50:58ZengIndian Psychiatric Society (Kerala State BranchKerala Journal of Psychiatry0377-06992395-14862021-06-0110.30834/KJP.34.1.2021.265223CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemmaArya Jith0Kathleen Anne Mathew1Dinesh Narayanan2Sheen Maria Jacob3Assistant Professor, Department of Psychiatry, Amrita Institute of Medical sciences, KochiSenior Resident, Department of Psychiatry, Amrita Institute of Medical Sciences, KochiProfessor and Head, Department of Psychiatry, Amrita Institute of Medical Sciences, KochiJunior Resident, Department of psychiatry, Amrita Institute of Medical Sciences, KochiDelirium, a major psychiatric emergency commonly encountered in alcohol withdrawal state, can have various aetiologies. Here we present a case of protracted delirium in an alcohol dependent patient, which on detailed neurological workup was diagnosed to be autoimmune encephalitis with CASPR2 (contactin-associated protein-like 2) antibodies. Subsequent treatment with immunotherapy and steroids lead to the resolution of symptoms.https://kjponline.com/index.php/kjp/article/view/265deliriumautoimmune encephalitisalcohol withdrawalcaspr2 |
| spellingShingle | Arya Jith Kathleen Anne Mathew Dinesh Narayanan Sheen Maria Jacob CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma Kerala Journal of Psychiatry delirium autoimmune encephalitis alcohol withdrawal caspr2 |
| title | CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma |
| title_full | CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma |
| title_fullStr | CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma |
| title_full_unstemmed | CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma |
| title_short | CASPR2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient: a diagnostic dilemma |
| title_sort | caspr2 positive autoimmune encephalitis presenting as delirium in an alcohol dependent patient a diagnostic dilemma |
| topic | delirium autoimmune encephalitis alcohol withdrawal caspr2 |
| url | https://kjponline.com/index.php/kjp/article/view/265 |
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