title: Anti-NMDA receptor encephalitis associated with ictal asystole.
abstract: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis usually presents with psychiatric symptoms, behavioural changes, impaired consciousness, seizures and autonomic instability. Ictal asystole is a rare phenomenon associated with complex partial seizures. It is implicated as a potential cause of sudden unexpected death in epilepsy. We report a 41-year-old woman who presented with anti-NMDAR encephalitis. During continuous video electroencephalogram and cardiac monitoring, an episode of ictal asystole was detected. We discuss the potential link between anti-NMDAR encephalitis and ictal asystole. Treatment options for ictal asystole in the setting of anti-NMDAR encephalitis are also discussed.
authors: Department of Internal Medicine, Royal Perth Hospital, Wellington Street, Perth, Western Australia 6000, Western Australia, Australia. kvmlee@hotmail.com
authors: Mark
authors: M
authors: Lee
authors: Nicholas
authors: N
authors: Lawn
authors: David
authors: D
authors: Prentice
authors: Josephine
authors: J
authors: Chan
mesh_terms: D000328:Adult; D000679:Amygdala / Q000473:pathology*; D060426:Anti-N-Methyl-D-Aspartate Receptor Encephalitis / Q000150:complications* / Q000473:pathology; D017029:Epilepsy, Complex Partial / Q000150:complications* / Q000473:pathology; D005260:Female; D006323:Heart Arrest / Q000150:complications* / Q000473:pathology; D006801:Humans