[Limbic encephalitis with positive anti-N-methyl-D-aspartate antibodies. Report of one case].

Rev Med Chil

Departamento de Ciencias Neurológicas, Hospital del Salvador, Facultad de Medicina, Universidad de Chile, Chile.

Published: September 2012

Limbic encephalitis is a subacute syndrome characterized by memory impairment, confusion, seizures, hypothalamic dysfunction and psychiatric symptoms. It has been associated to tumors located outside of the central nervous system. In 2007, anti-N-methyl-D-aspartate receptors (NMDAr) antibodies were found in serum and CSF of patients with this particular type of encephalitis. We report a 25-year-old female who, following upper respiratory tract symptoms, developed serious behavioral and consciousness impairment that progressed to coma. Cerebrospinal fluid (CSF) analysis showed a lymphocyte pleocytosis, the electroencephalogram was altered with a slow encephalopathic rhythm and a brain magnetic resonance imaging was normal. Infectious etiologies were ruled out. CSF and serum anti NMDA receptors antibodies were positive.

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http://dx.doi.org/10.4067/S0034-98872012000900010DOI Listing

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