A Young Woman Presenting with Psychotic and Mood Symptoms from Anti-N-Methyl-D-Aspartate Receptor (NMDA-R) Encephalitis: An Emerging Diagnosis. (November 2013)

• Record Type: Journal Article
• Authors: Yuan, Neal; Glezer, Anna
• Is Part Of: International journal of psychiatry in medicine. Volume 46:Number 4(2013)
• Page Start: 407
• Page End: 415
• Publication Date: 2013-11
• Subjects: Psychiatry -- Periodicals; Sick -- Psychology -- Periodicals; Medicine, Psychosomatic -- Periodicals; 616.89005
• DOI: 10.2190/PM.46.4.f
• Languages: English
• ISSNs: 0091-2174

Abstract

Anti-N-methyl-D-aspartate receptor (NMDA-R) encephalitis, first characterized in 2005, is a neurological disease with prominent psychiatric features that frequently involves the consultation of psychiatrists. Since its discovery, the rate of diagnosis of new cases has increased rapidly and several epidemiological studies now confirm that NMDA-R encephalitis may be as common as many other prominent infectious etiologies of encephalitis. We describe a case of a young woman presenting initially with psychotic and mood symptoms who was found to have anti-NMDA-R encephalitis. We further provide details of her treatment and prolonged recovery process after hospital discharge with a review of the literature and discussion of the epidemiology, symptomology, diagnosis, and management of both the neurologic and psychiatric manifestations of this condition. Last, we contextualize the importance of anti-NMDA-R encephalitis for psychiatrists, highlighting the role for psychiatrists in establishing the initial diagnosis as well as in providing ongoing psychiatric care.