Anti-NMDA receptor encephalitis: Psychiatric presentation and diagnostic challenges from psychosomatic medicine perspective. Issue 2 (15th November 2013)

• Record Type: Journal Article
• Authors: Gulyayeva, Nataliya A.; Massie, Mary Jane; Duhamel, Katherine N.
• Is Part Of: Palliative & supportive care. Volume 12:Issue 2(2014)
• Page Start: 159
• Page End: 163
• Publication Date: 2013-11-15
• Subjects: NMDA receptor, -- teratoma, -- delirium, -- neuroleptic malignant syndrome, -- psychosomatic medicine; Palliative treatment -- Great Britain -- Periodicals; 616.029
• DOI: 10.1017/S1478951513000515
• Languages: English
• ISSNs: 1478-9515

Abstract

Abstract: We describe two cases of confirmed anti-NMDA receptor encephalitis; one patient initially presented with a clinical picture that resembled delirium and later appeared to present with a conversion reaction and the second patient presented with a first psychotic break followed by the clinical picture of neuroleptic malignant syndrome with catatonia. Neither patient had a previous history of psychiatric illness or recreational drug use. These cases illustrate the diagnostic and treatment challenges associated with this neuropsychiatric condition and underscore the role of psychosomatic medicine psychiatrists in diagnosing anti-NMDA receptor encephalitis.