Evidence map›Paper›PMID 38721553›Full record

ArticleClinical case reports2024

A case report of anti-NMDA receptor encephalitis in a 23-year-old female with acute psychiatric symptoms.

Elham Mohammed Khatrawi, Priyadarshi Prajjwal, Mohammed Dheyaa Marsool Marsool, Arpan Das, Abhijit Nagre, Pugazhendi Inban, Ali Dheyaa Marsool Marsool, Omniat Amir Hussin

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elham Mohammed KhatrawiDepartment of Basic Medical Sciences College of Medicine, Taibah University Madinah Saudi Arabia.
Priyadarshi PrajjwalNeurology Bharati Vidyapeeth Medical College Pune India.ORCID https://orcid.org/0000-0001-7894-1829
Mohammed Dheyaa Marsool MarsoolUniversity of Baghdad, Al-Kindy College of Medicine Baghdad Iraq.ORCID https://orcid.org/0000-0002-3481-4534
Arpan DasInternal Medicine RG Kar Medical College and Hospital Kolkata India.
Abhijit NagreInternal Medicine Topiwala National Medical College Mumbai India.
Pugazhendi InbanInternal Medicine Government Medical College Omandurar India.
Ali Dheyaa Marsool MarsoolUniversity of Baghdad, Al-Kindy College of Medicine Baghdad Iraq.
Omniat Amir HussinManhal University Khartoum Sudan.ORCID https://orcid.org/0000-0002-5021-263X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Key Clinical Message: Prompt identification and management of anti-N-methyl-D-aspartate receptor encephalitis in young patients with acute psychiatric symptoms, seizures, and neurological deficits are crucial. Timely immunomodulatory therapy is essential for positive outcomes and minimizing long-term complications. High suspicion for this rare disorder is necessary for timely diagnosis and optimal care. Abstract: Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is characterized by the presence of antibodies against the NMDA receptor, a crucial component of synaptic signaling. This autoimmune disorder often manifests with psychiatric symptoms, seizures, and neurological deficits. Early diagnosis is essential, as delayed treatment can result in severe complications. In this case, the patient received corticosteroids and intravenous immunoglobulin (IVIG), leading to a successful recovery with no lingering neurological abnormalities. The prompt initiation of treatment highlights the importance of recognizing this condition early. Anti-NMDA receptor encephalitis is a rare autoimmune disorder that presents with a range of neurological symptoms. In this case report, we highlight the significance of early recognition and treatment by discussing the emergency room visit of a 23-year-old woman who presented with acute-onset agitation, disorientation, and seizures. A 23-year-old woman, presented to the emergency room with acute-onset agitation, disorientation, and seizures. Magnetic resonance imaging (MRI) scans revealed temporal lobe signal alterations and electroencephalogram (EEG) showed widespread activity slowing. Importantly, anti-NMDA receptor antibodies were detected in both serum and cerebrospinal fluid, confirming the diagnosis of anti-NMDA receptor encephalitis. This case report underscores the significance of understanding the presentation, diagnosis, and treatment of anti-NMDA receptor encephalitis. Timely recognition and intervention are crucial for achieving favorable outcomes in patients with this rare but clinically important autoimmune disorder. Increased awareness among healthcare professionals is essential to ensure early diagnosis and prompt initiation of appropriate treatment strategies.

Indexed as

anti‐NMDA receptor encephalitisautoantibodyautoimmune encephalitiscerebrospinal fluidencephalitis

Identifiers

PMID38721553
PMCPMC11077172

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