An unusual case of refractory status epilepticus in a young lady: anti-NMDA receptor encephalitis
Autor: | Siti Soraya Ab Rahman, Nurul Husna Zulkifli, Ching Soong Khoo |
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Rok vydání: | 2017 |
Předmět: |
Adult
Pediatrics medicine.medical_specialty Status epilepticus Disease Diagnosis Differential Young Adult 03 medical and health sciences Status Epilepticus 0302 clinical medicine Refractory medicine Humans 030212 general & internal medicine Acute Medical Care Anti-N-Methyl-D-Aspartate Receptor Encephalitis Anti-NMDA receptor encephalitis Unusual case business.industry General Medicine Delayed treatment medicine.disease Magnetic Resonance Imaging Dyskinesia Anticonvulsants Female medicine.symptom business 030217 neurology & neurosurgery Encephalitis |
Zdroj: | Clinical Medicine. 17:436-438 |
ISSN: | 1473-4893 1470-2118 |
DOI: | 10.7861/clinmedicine.17-5-436 |
Popis: | We describe a case of a young lady with anti-NMDA (N-methyl-D-aspartate) receptor encephalitis, who initially presented with status epilepticus. Her seizures and orofacial dyskinesia were refractory to four anticonvulsants. She received intravenous immunoglobulin and a left ovarian tumour (an associated feature) was resected. However, her outcome was poor because of delayed treatment, autonomic dysfunction and complications of prolonged hospitalisation. This case highlights the importance of an early recognition of this rare but increasingly recognised disease. |
Databáze: | OpenAIRE |
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