• Clin Med (Lond) · Oct 2017

    Case Reports

    An unusual case of refractory status epilepticus in a young lady: anti-NMDA receptor encephalitis.

    • Ching Soong Khoo, Nurul Husna Zulkifli, and RahmanSiti Soraya AbSSAIslamic Science University of Malaysia, Pandan Indah, Kuala Lumpur, Malaysia..
    • Pusat Perubatan Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia chingsoongkhoo@gmail.com.
    • Clin Med (Lond). 2017 Oct 1; 17 (5): 436438436-438.

    AbstractWe describe a case of a young lady with anti-NMDA (N-methyl-D-aspartate) receptor encephalitis, who initially presented with status epilepticus. Her seizures and orofacial dyskinesia were refractory to four anticonvulsants. She received intravenous immunoglobulin and a left ovarian tumour (an associated feature) was resected. However, her outcome was poor because of delayed treatment, autonomic dysfunction and complications of prolonged hospitalisation. This case highlights the importance of an early recognition of this rare but increasingly recognised disease.© Royal College of Physicians 2017. All rights reserved.

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