title: Relapsing Anti-NMDAR Encephalitis after a gap of eight years in a girl from North-East India.
abstract: It has been just 7 years since the discovery of anti-NMDAR encephalitis as distinct immune-mediated encephalitis and we have such cases being reported from our country. Herein, we describe a case of a 13-year-old girl who had relapsing encephalitis consisting of multiple types of difficult-to-control seizures, abnormal behavior, language disintegration, memory loss and abnormal movements eight years after the first clinical attack. In 2005, when she was 5 yearsold, anti-NMDAR encephalitis was not yet discovered and she was provisionally diagnosed as a case of viral encephalitis. During her second attack in 2013, antibodies against NMDAR were demonstrated by immunofluoresence in serum (1:10). This is the first report from our country of a case of relapsing anti-NMDAR encephalitis of such a long duration, successfully treated by immunotherapy.
authors.affiliation: Department of Neurology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Kayal
authors.affiliation: Department of Neurology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
authors.forename: Marami
authors.initials: M
authors.lastname: Das
authors.affiliation: Department of Neurology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
authors.forename: Suvorit
authors.initials: S
authors.lastname: Bhowmick
authors.affiliation: Department of Neurology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
authors.forename: Baiakmenlang
authors.initials: B
authors.lastname: Synmon
keywords: Anti-NMDAR encephalitis; autoimmune encephalitis; relapsing encephalitis