title: Anti-NMDA receptor encephalitis: a neurological disease in psychiatric disguise.
abstract: Anti-NMDA receptor encephalitis was first described in 2005 when psychiatric features, memory loss and altered consciousness were found in four women with ovarian teratoma. We report a case of anti-NMDA receptor encephalitis in a 16-year-old female who presented with psychiatric features followed by autonomic dysfunction and orofacial dyskinesias that showed drastic improvement to intravenous immunoglobulin. As many patients of anti-NMDAR encephalitis initially present with psychiatric features, it is important for psychiatrists to have high index of suspicion for this disease and thus avoid the delay in diagnosing this treatable condition which may be otherwise fatal.
authors: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors: Bhawna
authors: B
authors: Sharma
authors: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India. Electronic address: rahulhanda0411@gmail.com.
authors: Rahul
authors: R
authors: Handa
authors: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors: Swayam
authors: S
authors: Prakash
authors: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors: Kadam
authors: K
authors: Nagpal
authors: Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
authors: Pankaj
authors: P
authors: Gupta
mesh_terms: D000293:Adolescent; D060426:Anti-N-Methyl-D-Aspartate Receptor Encephalitis / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D001523:Mental Disorders / Q000188:drug therapy / Q000209:etiology*; D009069:Movement Disorders / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D016756:Immunoglobulins, Intravenous
keywords: Anti-NMDA receptor encephalitis; Autonomic dysfunction; Orofacial dyskinesias; Psychiatric features