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Rev. méd. Chile ; 140(9): 1170-1173, set. 2012.
Artículo en Español | LILACS | ID: lil-660075

RESUMEN

Background: Limbic encephalitis is a subacute syndrome characterized by memory impairment, confusion, seizures, hypothalamic dysfunction and psychiatric symptoms. It has been associated to tumors located outside of the central nervous system. In 2007, anti-N-methyl-D-aspartate receptors (NMDAr) antibodies were found in serum and CSF of patients with this particular type of encephalitis. We report a 25-year-old female who, following upper respiratory tract symptoms, developed serious behavioral and consciousness impairment that progressed to coma. Cerebrospinal fluid (CSF) analysis showed a lymphocyte pleocytosis, the electroencephalogram was altered with a slow encephalopathic rhythm and a brain magnetic resonance imaging was normal. Infectious etiologies were ruled out. CSF and serum anti NMDA receptors antibodies were positive.


Asunto(s)
Adulto , Femenino , Humanos , Anticuerpos/líquido cefalorraquídeo , Encefalitis Límbica/diagnóstico , N-Metilaspartato/inmunología , Receptores de N-Metil-D-Aspartato/inmunología , Encefalitis Límbica/fisiopatología
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