Not hysteria : Ovarian teratoma-associated anti-N-methyl-D-aspartate receptor encephalitis. / Roberts, R.; MacDougall, N.J.J.; O'Brien, P.; Abdelaziz, K.; Christie, J.; Swingler, R.
In: Scottish Medical Journal, Vol. 57, No. 3, 2012.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Not hysteria
T2 - Ovarian teratoma-associated anti-N-methyl-D-aspartate receptor encephalitis
A1 - Roberts,R.
A1 - MacDougall,N.J.J.
A1 - O'Brien,P.
A1 - Abdelaziz,K.
A1 - Christie,J.
A1 - Swingler,R.
AU - Roberts,R.
AU - MacDougall,N.J.J.
AU - O'Brien,P.
AU - Abdelaziz,K.
AU - Christie,J.
AU - Swingler,R.
PY - 2012
Y1 - 2012
N2 - We report a case of a 33-year-old nulliparous woman who, following a short prodromal illness, experienced a series of psychiatric and behavioural symptoms. These included states of terror, insomnia, delirium, self-harm and suicidal ideation, facial dyskinesias, verbigeration, cognitive impairment, reduced responsiveness, violence and paranoia. A diagnosis of anti-N-methyl-D-aspartate (NMDAR) encephalitis was made 50 days after symptom onset. Early tumour removal is associated with an improved prognosis and a laparoscopic oophorectomy was performed following detection of a dermoid cyst. Within 24 hours of the operation there was marked improvement in cognitive function and appetite.
AB - We report a case of a 33-year-old nulliparous woman who, following a short prodromal illness, experienced a series of psychiatric and behavioural symptoms. These included states of terror, insomnia, delirium, self-harm and suicidal ideation, facial dyskinesias, verbigeration, cognitive impairment, reduced responsiveness, violence and paranoia. A diagnosis of anti-N-methyl-D-aspartate (NMDAR) encephalitis was made 50 days after symptom onset. Early tumour removal is associated with an improved prognosis and a laparoscopic oophorectomy was performed following detection of a dermoid cyst. Within 24 hours of the operation there was marked improvement in cognitive function and appetite.
U2 - 10.1258/smj.2012.012026
DO - 10.1258/smj.2012.012026
M1 - Article
JO - Scottish Medical Journal
JF - Scottish Medical Journal
SN - 0036-9330
IS - 3
VL - 57
ER -