Evidence map›Paper›PMID 41798584›Full record

ArticleCureus2026

Neuropsychiatric Presentation of Non-paraneoplastic Voltage-Gated Calcium Channel Autoimmune Encephalitis: A Case Report.

Shreya Philip, Sandeep Kaur, Rajeshwar Sahonta, Jeyaraj D Pandian

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Shreya PhilipDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, IND.
Sandeep KaurDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, IND.
Rajeshwar SahontaDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, IND.
Jeyaraj D PandianDepartment of Neurology, Christian Medical College and Hospital, Ludhiana, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune encephalitis is an immune-mediated inflammatory disorder of the brain with diverse neurological and psychiatric manifestations. Voltage-gated calcium channel (VGCC) antibody-associated autoimmune encephalitis is rare and has been predominantly described in paraneoplastic settings. Emerging reports suggest a broader range of central nervous system involvement, but presentations dominated by psychiatric symptoms remain uncommon and diagnostically challenging. A 39-year-old man with no prior medical illness presented with subacute progressive cognitive decline, behavioral changes, and religious-themed complex auditory hallucinations over three to four months. Initial evaluation, including magnetic resonance imaging, electroencephalography, and standard autoimmune encephalitis antibody testing, was unrevealing. Extended cerebrospinal fluid and serum autoimmune testing were done, which demonstrated elevated VGCC antibody levels. Comprehensive malignancy screening, including whole-body positron emission tomography, showed no evidence of an underlying neoplasm. The patient showed partial improvement following intravenous methylprednisolone and intravenous immunoglobulin (IVIG). Symptom recurrence necessitated repeat IVIG and escalation to rituximab therapy, resulting in sustained clinical improvement. This case broadens the recognized clinical spectrum of VGCC antibody-associated autoimmune encephalitis by highlighting a presentation dominated by psychiatric symptoms in the absence of malignancy or classical neurological features. Recognition of such atypical presentations is essential, as early diagnosis and appropriate immunotherapy can lead to favorable outcomes.

Indexed as

autoimmune encephalitis and atypical presentationsintravenous immunoglobulins (ivig)neuro-psychiatricpassive immunotherapyvoltage-gated calcium channel antibody

Identifiers

PMID41798584
PMCPMC12965191

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.