• Medicine · Jun 2024

    Case Reports

    Acupuncture treatment for anti-NMDAR encephalitis: A case report.

    • Tianhong Yang, Hui Cheng, and Chunlei Gu.
    • Department of Acupuncture and Moxibustion, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
    • Medicine (Baltimore). 2024 Jun 21; 103 (25): e38546e38546.

    RationaleAnti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a rare disease and common type of autoimmune encephalitis. The prognosis of patients with comorbid disorders of consciousness is poor, and no such acupuncture treatment has been reported. We report a case of acupuncture in anti-NMDAR encephalitis with a high cerebrospinal fluid titer combined with impaired consciousness.Patient ConcernsA 13-year-old girl with anti-NMDAR encephalitis presented to our hospital with impaired consciousness.DiagnosesTherefore, the patient was diagnosed with anti-NMDAR encephalitis. According to the Chinese medicine theory, the diagnosis was Shenhun(phlegm obstructs the clear orifices).InterventionsDepending on the patient's condition, we used the Xingnao Kaiqiao acupuncture therapeutic method.OutcomesAfter 16 weeks of acupuncture treatment, the patient awoke and resumed a normal life with no recurrence at one-year follow-up.ConclusionThis case demonstrated that acupuncture can be used as a complementary and alternative treatment for anti-NMDAR encephalitis.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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