ArticleJournal of neuroimmunology2020
Bilateral thalamic changes in anti-NMDAR encephalitis presenting with hemichorea and dystonia and acute transient psychotic disorder.
Article in Journal of neuroimmunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Bilateral thalamic infarction in a young adult: The artery of Percheron conundrum.The neuroradiology journal · 2026Article
- Case Report: Epidermal growth factor receptor germline variant associated with epilepsy and rare, distinctive cerebral MRI abnormalities.Frontiers in radiology · 2026Article
- Functional Connectivity Changes of Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Graph-Theoretic and Topology-Based Study.Brain and behavior · 2025Article
- An Intriguing Case of Expanded Dengue Syndrome With Co-existing Encephalitis, Pancreatitis, and Hepatitis: The Classic Thalamic "Double-Doughnut" Sign Revisited.The Neurohospitalist · 2024Article
- Acute and transient psychotic disorders: A review of Indian research.Indian journal of psychiatry · 2023Review
- Bromisoval-induced bromism with status epilepticus mimicking Wernicke's encephalopathy: report of two cases.BMC neurology · 2022Article
- Cerebral gray matter volume changes in patients with anti-N-methyl-D-aspartate receptor encephalitis: A voxel-based morphometry study.Frontiers in neurology · 2022Article
- Case report: Anti-NMDA receptor encephalitis manifesting as rapid weight loss and abnormal movement disorders with alternating unilateral ptosis and contralateral limb tremor.Frontiers in immunology · 2022Article
- One Side of the Story; Clues to Etiology in Patients with Asymmetric Chorea.Tremor and other hyperkinetic movements (New York, N.Y.) · 2022Review
- Case Report: Acute Necrotizing Encephalopathy Following COVID-19 Vaccine.Frontiers in neurology · 2022Article
- Anti-Annals of Indian Academy of NeurologyArticle
- Frontal Dysexecutive Syndrome in Brain Tumors: A Pragmatic Insight to an Old Problem.Case reports in oncologyArticle
- Wernicke's encephalopathy in a non-alcoholic woman from rural India: A rare neurological complication of acute pancreatitis.Neurology perspectivesArticle
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
Abstract
Anti-N-methyl-d-aspartate receptor (anti-NMDAR) encephalitis is one of the most common causes of autoimmune encephalitis. Both movement disorders and neuropsychiatric manifestations are considered core features of anti-NMDAR encephalitis. Strong clinical suspicion, along with NMDAR antibody positivity in paired sample of serum and cerebrospinal fluid, with supportive MRI changes clinch diagnosis in majority. We herein report a case of a middle-aged woman with subacute behavioral abnormalities, which were so severe that forced her to attempt suicide. Hemichorea and dystonia, which appeared later in course, are not previously reported movement disorders in combination in anti-NMDAR encephalitis. Further, magnetic resonance imaging showed bilateral thalamic hyperintensities with diffusion restriction, which are in turn not described in this entity. After amalgamation of history, especially the presence of neuropsychiatric symptoms, clinical features, physical examination, and investigations, the diagnosis of anti-NMDAR encephalitis could be established. Our case not only highlights that the combination of hemichorea and dystonia can be features of anti-NMDAR encephalitis, but adds novelty by bilateral symmetric thalamic changes.
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