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A Case of Catatonia Later Diagnosed with NMDA Receptor Encephalitis / 대한정신분열병학회지
Korean Journal of Schizophrenia Research ; : 23-27, 2017.
Artigo em Coreano | WPRIM | ID: wpr-36772
ABSTRACT
We report a case of a young female patient with catatonic features who later turned out to be suffering from an anti-NMDA (N-methyl-D-aspartate)-receptor-antibody encephalitis. A previously healthy 21-year-old woman was admitted to psychiatric inpatient care presenting with acute psychotic behavior with catatonic features. Laboratory tests of serum and CSF (Cerebrospinal fluid), EEG (Electroencephalogram), brain MRI (Magnetic Resonance Imaging) were unremarkable except vague slow wave on EEG. However, subtle cognitive impairment at the bedside examination suggested further imaging studies to rule out possible organic etiology like autoimmune encephalitis. Brain PET (Positron Emission Tomography) and SPECT (Single Photon Emission Computed Tomography) suggested probable inflammation in the brain. In case of autoimmune encephalitis, given the severity of symptoms and worsening course, steroid pulse therapy was initiated promptly even though the diagnosis was not confirmed but presumed at that time. She recovered completely with steroid therapy. Later her disease turned out to be anti-NMDA-receptor-antibody encephalitis by the antibody test which was not available at the time of admission. Psychiatrists need to be aware of autoimmune encephalitis like anti-NMDA-receptor-antibody encephalitis in the differential diagnosis of acute psychosis with catatonic features. Subtle cognitive impairment which tends to be overlooked due to catatonic features might be a clue to suspect the organic etiology.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Psiquiatria / Transtornos Psicóticos / Encéfalo / Imageamento por Ressonância Magnética / Catatonia / Doença de Depósito de Glicogênio Tipo VI / Tomografia Computadorizada de Emissão de Fóton Único / N-Metilaspartato / Transtornos Cognitivos / Diagnóstico Tipo de estudo: Estudo diagnóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Korean Journal of Schizophrenia Research Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Psiquiatria / Transtornos Psicóticos / Encéfalo / Imageamento por Ressonância Magnética / Catatonia / Doença de Depósito de Glicogênio Tipo VI / Tomografia Computadorizada de Emissão de Fóton Único / N-Metilaspartato / Transtornos Cognitivos / Diagnóstico Tipo de estudo: Estudo diagnóstico Limite: Feminino / Humanos Idioma: Coreano Revista: Korean Journal of Schizophrenia Research Ano de publicação: 2017 Tipo de documento: Artigo