[Anesthesia in anti-N-methyl-d-aspartate receptor encephalitis - is general anesthesia a requisite? A case report].
Anti-N-methyl-d-aspartate receptor encephalitis is a recently described neurological disorder and an increasingly recognized cause of psychosis, movement disorders and autonomic dysfunction. We report 20-year-old Chinese female who presented with generalized tonic-clonic seizures, recent memory loss, visual hallucinations and abnormal behavior. Anti-N-methyl-d-aspartate receptor encephalitis was diagnosed and a computed tomography scan of abdomen reviewed a left adnexal tumor. We describe the first such case report of a patient with anti-N-methyl-d-aspartate receptor encephalitis who was given a bilateral transversus abdominis plane block as the sole anesthetic for removal of ovarian tumor. We also discuss the anesthetic issues associated with anti-N-methyl-d-aspartate receptor encephalitis. As discovery of tumor and its removal is the focus of initial treatment in this group of patients, anesthetists will encounter more such cases in the near future.
University Malaya Medical Centre, Department of Anesthesiology, Kuala Lumpur, Malásia. Electronic address: sh_chaw@yahoo.com.
Sook Hui
SH
Chaw
University Malaya Medical Centre, Department of Anesthesiology, Kuala Lumpur, Malásia.
Li Lian
LL
Foo
University of Malaya, Faculty of Medicine, Department of Anesthesiology, Kuala Lumpur, Malásia.
Lucy
L
Chan
University Malaya Medical Centre, Department of Anesthesiology, Kuala Lumpur, Malásia.
Kang Kwong
KK
Wong
University of Malaya, Faculty of Medicine, Department of Medicine, Kuala Lumpur, Malásia.
Suhailah
S
Abdullah
University of Malaya, Faculty of Medicine, Department of Obstetrics and Gynaecology, Kuala Lumpur, Malásia.
Boon Kiong
BK
Lim
D000768:Anesthesia, General / Q000592:standards; D060426:Anti-N-Methyl-D-Aspartate Receptor Encephalitis / Q000150:complications; D005260:Female; D006801:Humans; D009407:Nerve Block; D010051:Ovarian Neoplasms / Q000150:complications / Q000601:surgery; D055815:Young Adult
Anti‐NMDA receptor encephalitis and anesthesia; Anti‐N‐methyl‐d‐aspartate receptor encephalitis; Bloqueio do plano transverso abdominal; Encefalite antirreceptor de NMDA e anestesia; Encefalite antirreceptor de N‐metil‐d‐aspartato; Transversus abdominis plane block