title: A rare case of anti-N-methyl-D-aspartate receptor encephalitis during pregnancy.
abstract: Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis was first described as a severe form of encephalitis by Dalmau et al in 2006. This is an autoimmune disorder usually associated with paraneoplastic mechanism that manifests as neuropsychiatric disorder affecting mainly women of child-bearing age. Nevertheless anti- NMDA receptor encephalitis is a rare condition during pregnancy. To -date, there have been only four reported cases during pregnancy. We report a case of a 23-year-old primigravida in first trimester pregnancy with altered mental status and multiple neurological symptoms related to anti-NMDA receptor encephalitis. To the best of our knowledge, this is the first reported anti-NMDA receptor encephalitis during pregnancy in Australasia.
authors.forename: Lai Wan
authors.initials: LW
authors.lastname: Chan
authors.forename: Christer
authors.initials: C
authors.lastname: Nilsson
authors.affiliation: Department of Neurology, Waikato Hospital, Corner Selwyn and Pembroke Street, 3204 Hamilton, New Zealand. jan.schepel@waikatodhb.health.nz.
authors.forename: Jan
authors.initials: J
authors.lastname: Schepel
authors.forename: Christopher
authors.initials: C
authors.lastname: Lynch
mesh_terms: D060426:Anti-N-Methyl-D-Aspartate Receptor Encephalitis / Q000150:complications / Q000175:diagnosis*; D000906:Antibodies / Q000097:blood; D003937:Diagnosis, Differential; D004569:Electroencephalography; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011252:Pregnancy Complications, Neoplastic; D016194:Receptors, N-Methyl-D-Aspartate / Q000276:immunology; D013724:Teratoma / Q000150:complications; D055815:Young Adult
chemical_list: D000906:Antibodies; D016194:Receptors, N-Methyl-D-Aspartate