Not hysteria: Ovarian teratoma-associated anti-N-methyl-D-aspartate receptor encephalitis

  • R. Roberts
  • , N.J.J. MacDougall
  • , P. O'Brien
  • , K. Abdelaziz
  • , J. Christie
  • , R. Swingler

    Research output: Contribution to journalArticlepeer-review

    Abstract

    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.
    Original languageEnglish
    JournalScottish Medical Journal
    Volume57
    Issue number3
    DOIs
    Publication statusPublished - 2012

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being
    2. SDG 16 - Peace, Justice and Strong Institutions
      SDG 16 Peace, Justice and Strong Institutions

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