Abstract
Patients with anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis may remain undiagnosed and untreated with immunotherapy. To investigate specific features and responses to immunotherapy of atypical anti-NMDAR antibody positivity patients, the authors reviewed and evaluated previous case reports/series including patients without seizure, involuntary movement, hypoventilation, or tumor. Of 22 patients identified, 21 responded to immunotherapy. Two patients had neurological/motor symptoms with few/no psychiatric/cognitive symptoms, and eight had both. Twelve patients presented with psychiatric/cognitive symptoms with few/no neurological/motor symptoms, and ≥1 had memory impairment, catatonia, abnormal MRI or electroencephalogram results. The authors recommend lumbar puncture and examination of anti-NMDAR antibodies for patients with these features.
| Original language | English |
|---|---|
| Pages (from-to) | 267-274 |
| Number of pages | 8 |
| Journal | Journal of Neuropsychiatry and Clinical Neurosciences |
| Volume | 29 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 1 2017 |
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ASJC Scopus subject areas
- Medicine(all)
- Clinical Neurology
- Psychiatry and Mental health
Cite this
Anti-NMDA receptor antibody positivity and presentations without seizure, involuntary movement, hypoventilation, or tumor : A systematic review of the literature. / Yoshimura, Bunta; Takaki, Manabu.
In: Journal of Neuropsychiatry and Clinical Neurosciences, Vol. 29, No. 3, 01.06.2017, p. 267-274.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Anti-NMDA receptor antibody positivity and presentations without seizure, involuntary movement, hypoventilation, or tumor
T2 - A systematic review of the literature
AU - Yoshimura, Bunta
AU - Takaki, Manabu
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Patients with anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis may remain undiagnosed and untreated with immunotherapy. To investigate specific features and responses to immunotherapy of atypical anti-NMDAR antibody positivity patients, the authors reviewed and evaluated previous case reports/series including patients without seizure, involuntary movement, hypoventilation, or tumor. Of 22 patients identified, 21 responded to immunotherapy. Two patients had neurological/motor symptoms with few/no psychiatric/cognitive symptoms, and eight had both. Twelve patients presented with psychiatric/cognitive symptoms with few/no neurological/motor symptoms, and ≥1 had memory impairment, catatonia, abnormal MRI or electroencephalogram results. The authors recommend lumbar puncture and examination of anti-NMDAR antibodies for patients with these features.
AB - Patients with anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis may remain undiagnosed and untreated with immunotherapy. To investigate specific features and responses to immunotherapy of atypical anti-NMDAR antibody positivity patients, the authors reviewed and evaluated previous case reports/series including patients without seizure, involuntary movement, hypoventilation, or tumor. Of 22 patients identified, 21 responded to immunotherapy. Two patients had neurological/motor symptoms with few/no psychiatric/cognitive symptoms, and eight had both. Twelve patients presented with psychiatric/cognitive symptoms with few/no neurological/motor symptoms, and ≥1 had memory impairment, catatonia, abnormal MRI or electroencephalogram results. The authors recommend lumbar puncture and examination of anti-NMDAR antibodies for patients with these features.
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UR - http://www.scopus.com/inward/citedby.url?scp=85021862503&partnerID=8YFLogxK
U2 - 10.1176/appi.neuropsych.16050101
DO - 10.1176/appi.neuropsych.16050101
M3 - Review article
VL - 29
SP - 267
EP - 274
JO - Journal of Neuropsychiatry and Clinical Neurosciences
JF - Journal of Neuropsychiatry and Clinical Neurosciences
SN - 0895-0172
IS - 3
ER -