TY - JOUR
T1 - Not hysteria
T2 - Ovarian teratoma-associated anti-N-methyl-D-aspartate receptor encephalitis
AU - Roberts, R.
AU - MacDougall, N.J.J.
AU - O'Brien, P.
AU - Abdelaziz, K.
AU - Christie, J.
AU - Swingler, R.
N1 - Copyright 2012 Elsevier B.V., All rights reserved.
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.
UR - http://www.scopus.com/inward/record.url?scp=84864658806&partnerID=8YFLogxK
U2 - 10.1258/smj.2012.012026
DO - 10.1258/smj.2012.012026
M3 - Article
C2 - 22859813
AN - SCOPUS:84864658806
SN - 0036-9330
VL - 57
JO - Scottish Medical Journal
JF - Scottish Medical Journal
IS - 3
ER -
