Psychiatric Symptoms in a Patient with NMDA Receptor Encephalitis

Psychiatric Symptoms in a Patient with NMDA Receptor Encephalitis

  • L Paudel Dept. of Psychiatry, KMC, Kathmandu
  • S Samadarshi Provincal Hospital Surkhet, Karnali Province
  • S Limbu Dept. Of Psychiatry, BPKIHS, Dharan
  • R Sharma Dept. of Psychiatry, KMC, Kathmandu
  • P Chalise Dept. of Psychiatry, KMC, Kathmandu
  • SN Pradhan Dept. of Psychiatry, KMC, Kathmandu
Keywords: Anti NMDA-R encephalitis, psychiatric manifestations, seizures

Abstract

Anti N methyl D aspartate receptor (NMDA-R) encephalitis is an autoimmune disorder that encompasses various psychiatric and neurological symptoms. Psychiatric manifestations are often the presentation of the disease that often delay or mislead the diagnosis. Complex psychiatric symptoms, seizures, autonomic instability, abnormal movements, behavioral changes and impaired cognitive functions are present during the course of illness. Prodromal psychiatric symptoms often confuse the physicians and even patient initially seeks psychiatric consultation. Here we present a case of 19 years female who presented with initial psychiatric symptoms that progressed to seizure, autonomic instability, abnormal movement and other encephalitic symptoms.

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Author Biographies

L Paudel, Dept. of Psychiatry, KMC, Kathmandu

Lecturer

S Samadarshi, Provincal Hospital Surkhet, Karnali Province

Consultant Psychiatrist

S Limbu, Dept. Of Psychiatry, BPKIHS, Dharan

Assistant Professor

R Sharma, Dept. of Psychiatry, KMC, Kathmandu

Asst. Professor

P Chalise, Dept. of Psychiatry, KMC, Kathmandu

Lecturer

SN Pradhan, Dept. of Psychiatry, KMC, Kathmandu

Professor

Published
2020-09-20
How to Cite
Paudel, L., Samadarshi, S., Limbu, S., Sharma, R., Chalise, P., & Pradhan, S. (2020). Psychiatric Symptoms in a Patient with NMDA Receptor Encephalitis. Journal of Psychiatrists’ Association of Nepal, 9(1), 66-68. https://doi.org/10.3126/jpan.v9i1.31343
Section
Case Report