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...

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Main Authors: Arpit Koolwal, Supriya Agrawal, Ghanshyam Das Koolwal, Kaveri Saxena, Ankit Daral
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=
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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.
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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=
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