Autor: |
Paul J, Young, Stuart, Baker, Elena, Cavazzoni, Simon J, Erickson, Anand, Krishnan, Peter S, Kruger, Alan H, Rashid, Brad A, Wibrow |
Rok vydání: |
2013 |
Předmět: |
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Zdroj: |
Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine. 15(1) |
ISSN: |
1441-2772 |
Popis: |
Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis causes autonomic disturbances, behavioural changes and abnormal movements. It is often a paraneoplastic phenomenon that occurs in association with ovarian teratomas and is the most common paraneoplastic encephalitis. We report nine cases of critically ill patients with anti- NMDA receptor encephalitis from Australia and New Zealand. One patient died and one had a poor neurological recovery. The remaining patients made substantial or complete neurological recoveries. This case series highlights that patients with anti-NMDA receptor encephalitis: • often require long periods of support in an intensive care unit; • may develop tracheostomy complications related to hypersalivation; • may develop life-threatening hyperthermia; • can have ovarian teratomas despite normal investigations; and • often have very abnormal movements that are difficult to control and make ongoing care difficult. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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