A Case of New Onset Psychosis in a Young Woman with Minimal Response to Risperidone, Ultimately Diagnosed with N-Methyl-D-Aspartate Receptor Encephalitis: A Review of this Under-Recognized Condition

摘要: Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a severe, treatable and potentially reversible disorder presenting with memory deficits, psychiatric symptoms seizures. Initially described in young patients ovarian teratoma, the disease meanwhile increasingly recognized also women without tumors, men children. The presence of anti-glutamate (type NMDA) autoantibodies serum or cerebrospinal fluid specific for this novel widely under-diagnosed disorder. We present psychotic symptoms, initially treated psychiatrically, but was ultimately discovered to have anti-NMDAR encephalitis. review state respect epidemiology, phenomenology, pathogenesis, treatment.