Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations
Anti-NMDAR encephalitis is an autoimmune encephalitis with a typical clinical progression. Patients can often present to psychiatric outpatient departments (OPDs) mimicking psychiatric illnesses. In this case series, we have described two cases of adolescent age group that were eventually diagnosed...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
Series: | Annals of Indian Academy of Neurology |
Subjects: | |
Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=2;spage=225;epage=227;aulast= |
_version_ | 1828543024749084672 |
---|---|
author | Arpit Koolwal Supriya Agrawal Ghanshyam Das Koolwal Kaveri Saxena Ankit Daral |
author_facet | Arpit Koolwal Supriya Agrawal Ghanshyam Das Koolwal Kaveri Saxena Ankit Daral |
author_sort | Arpit Koolwal |
collection | DOAJ |
description | Anti-NMDAR encephalitis is an autoimmune encephalitis with a typical clinical progression. Patients can often present to psychiatric outpatient departments (OPDs) mimicking psychiatric illnesses. In this case series, we have described two cases of adolescent age group that were eventually diagnosed with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. They had presented to psychiatry OPD and were admitted to the psychiatry ward. Both cases had predominantly, although varied, psychiatric symptoms with a variable course, response to treatment and prognosis. We have tried to speculate if initial presentation in anti-NMDAR encephalitis can be suggestive or can predict response to treatment and prognosis in a patient. We advocate a high degree of suspicion for psychiatrists toward patients presenting acutely in the first episode of mania or psychosis, particularly in adolescent age group. |
first_indexed | 2024-12-12T02:06:24Z |
format | Article |
id | doaj.art-94d8c10e74e249b180ad84a8cca1a68c |
institution | Directory Open Access Journal |
issn | 0972-2327 1998-3549 |
language | English |
last_indexed | 2024-12-12T02:06:24Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Annals of Indian Academy of Neurology |
spelling | doaj.art-94d8c10e74e249b180ad84a8cca1a68c2022-12-22T00:42:02ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492020-01-0123222522710.4103/aian.AIAN_295_18Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentationsArpit KoolwalSupriya AgrawalGhanshyam Das KoolwalKaveri SaxenaAnkit DaralAnti-NMDAR encephalitis is an autoimmune encephalitis with a typical clinical progression. Patients can often present to psychiatric outpatient departments (OPDs) mimicking psychiatric illnesses. In this case series, we have described two cases of adolescent age group that were eventually diagnosed with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. They had presented to psychiatry OPD and were admitted to the psychiatry ward. Both cases had predominantly, although varied, psychiatric symptoms with a variable course, response to treatment and prognosis. We have tried to speculate if initial presentation in anti-NMDAR encephalitis can be suggestive or can predict response to treatment and prognosis in a patient. We advocate a high degree of suspicion for psychiatrists toward patients presenting acutely in the first episode of mania or psychosis, particularly in adolescent age group.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=2;spage=225;epage=227;aulast=anti-n-methyl-d-aspartate receptor encephalitismaniapsychiatricpsychosis |
spellingShingle | Arpit Koolwal Supriya Agrawal Ghanshyam Das Koolwal Kaveri Saxena Ankit Daral Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations Annals of Indian Academy of Neurology anti-n-methyl-d-aspartate receptor encephalitis mania psychiatric psychosis |
title | Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations |
title_full | Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations |
title_fullStr | Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations |
title_full_unstemmed | Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations |
title_short | Anti-N-methyl-D-aspartate receptor encephalitis: Case series of psychiatric presentations |
title_sort | anti n methyl d aspartate receptor encephalitis case series of psychiatric presentations |
topic | anti-n-methyl-d-aspartate receptor encephalitis mania psychiatric psychosis |
url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=2;spage=225;epage=227;aulast= |
work_keys_str_mv | AT arpitkoolwal antinmethyldaspartatereceptorencephalitiscaseseriesofpsychiatricpresentations AT supriyaagrawal antinmethyldaspartatereceptorencephalitiscaseseriesofpsychiatricpresentations AT ghanshyamdaskoolwal antinmethyldaspartatereceptorencephalitiscaseseriesofpsychiatricpresentations AT kaverisaxena antinmethyldaspartatereceptorencephalitiscaseseriesofpsychiatricpresentations AT ankitdaral antinmethyldaspartatereceptorencephalitiscaseseriesofpsychiatricpresentations |