Anti-NMDA (a-NMDAR) receptor encephalitis related to acute consumption of metamphetamine: Relevance of differential diagnosis.

Autor:	Iriondo O; Servicio de Anestesiología y Reanimación, Hospital Universitario de Basurto, Basurto, Vizcaya, España. Electronic address: olatziri@gmail.com., Zaldibar-Gerrikagoitia J; Servicio de Anestesiología y Reanimación, Hospital Universitario de Basurto, Basurto, Vizcaya, España., Rodríguez T; Servicio de Anestesiología y Reanimación, Hospital Universitario de Basurto, Basurto, Vizcaya, España., García JM; Servicio de Anestesiología y Reanimación, Hospital Universitario de Basurto, Basurto, Vizcaya, España., Aguilera L; Servicio de Anestesiología y Reanimación, Hospital Universitario de Basurto, Basurto, Vizcaya, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista espanola de anestesiologia y reanimacion [Rev Esp Anestesiol Reanim] 2017 Mar; Vol. 64 (3), pp. 172-176. Date of Electronic Publication: 2016 Dec 02.
DOI:	10.1016/j.redar.2016.09.004
Abstrakt:	A 19-year-old male came to the Emergency Room of our hospital due to an episode of dystonic movements and disorientation 4 days after consuming methamphetamine, which evolved to a catatonic frank syndrome and eventually to status epilepticus. Definitive diagnosis was anti-NMDA receptor encephalitis, an acute inflammation of the limbic area of autoimmune origin in which early diagnosis and treatment are key elements for the final outcome. In this case, initial normal tests and previous methamphetamine poisoning delayed diagnosis, because inhaled-methamphetamine poisoning causes similar clinical symptoms to anti-NMDA receptor encephalitis. Methamphetamine poisoning may have caused an immune response in the patient, bringing on the progress of the pathology. (Copyright © 2016 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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