Open AccessYoung girl with abnormal behavior: Anti-N-Methyl-D-Aspartate receptor immune encephalitis
Author(s) -
Vinit Suri,
S. K. Sharma,
Rohan Gupta,
Nilesh Jadhao,
Kunal Suri
Publication year - 2013
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.112456
Subject(s) - medicine , girl , psychosis , encephalitis , teratoma , disease , ovarian teratoma , autoimmune encephalitis , neurology , pediatrics , immunotherapy , immune system , psychiatry , intensive care medicine , pathology , immunology , psychology , developmental psychology , virus
Anti N Methyl D Aspartate receptor immune encephalitis (Anti NMDARE) is a recently defined, under-recognized and often misdiagnosed disease, which typically occurs in young females and may be associated with an underlying tumor, usually ovarian teratoma. If diagnosed early, initiation of immunotherapy and tumor removal (if present) may result in recovery. We report a case of a 17 years old girl with Anti NMDARE who was initially misdiagnosed as Functional psychosis, Neuroleptic Malignant Syndrome and Sepsis syndrome. To the best of our knowledge, this is only the second case of anti NMDARE being reported from India. This case report underscores the need for a greater awareness of this entity across multiple specialties, e.g., general medicine, psychiatry and neurology, to ensure a heightened diagnostic suspicion, which can lead to timely diagnosis and adequate therapy of this treatable disease.