New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis
Anti-NMDAR encephalitis is becoming more widely recognized as a cause of encephalopathy in both adults and children. Certain clinical features such as mood lability, movement disorders, speech dysfunction, seizures, and autonomic instability in a pediatric patient should prompt immediate concern and...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/4083785 |
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| _version_ | 1832556093971103744 |
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| author | Tamar N. Goldberg Michael F. Cellucci |
| author_facet | Tamar N. Goldberg Michael F. Cellucci |
| author_sort | Tamar N. Goldberg |
| collection | DOAJ |
| description | Anti-NMDAR encephalitis is becoming more widely recognized as a cause of encephalopathy in both adults and children. Certain clinical features such as mood lability, movement disorders, speech dysfunction, seizures, and autonomic instability in a pediatric patient should prompt immediate concern and evaluation for autoimmune encephalitis among providers. We present the case of a pediatric patient with anti-NMDAR encephalitis in which the symptom prompting medical evaluation was insomnia. Insomnia has not previously been emphasized in the literature as a presenting feature of this disease in children and has a broad differential. Recognition of the symptoms of anti-NMDAR encephalitis and its variable presentation are key to early diagnosis and prompt initiation of treatment which may help to improve outcomes. |
| format | Article |
| id | doaj-art-d46ffa355a5c43149116119c72cdeb9a |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-d46ffa355a5c43149116119c72cdeb9a2025-02-03T05:46:27ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/40837854083785New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor EncephalitisTamar N. Goldberg0Michael F. Cellucci1Department of Pediatrics, Sidney Kimmel Medical College/Alfred I. duPont Hospital for Children Pediatric Residency Program, Wilmington, DE, USADivision of Diagnostic Referral, Department of Pediatrics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USAAnti-NMDAR encephalitis is becoming more widely recognized as a cause of encephalopathy in both adults and children. Certain clinical features such as mood lability, movement disorders, speech dysfunction, seizures, and autonomic instability in a pediatric patient should prompt immediate concern and evaluation for autoimmune encephalitis among providers. We present the case of a pediatric patient with anti-NMDAR encephalitis in which the symptom prompting medical evaluation was insomnia. Insomnia has not previously been emphasized in the literature as a presenting feature of this disease in children and has a broad differential. Recognition of the symptoms of anti-NMDAR encephalitis and its variable presentation are key to early diagnosis and prompt initiation of treatment which may help to improve outcomes.http://dx.doi.org/10.1155/2017/4083785 |
| spellingShingle | Tamar N. Goldberg Michael F. Cellucci New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis Case Reports in Pediatrics |
| title | New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis |
| title_full | New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis |
| title_fullStr | New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis |
| title_full_unstemmed | New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis |
| title_short | New Onset Insomnia in a Pediatric Patient: A Case of Anti-NMDA Receptor Encephalitis |
| title_sort | new onset insomnia in a pediatric patient a case of anti nmda receptor encephalitis |
| url | http://dx.doi.org/10.1155/2017/4083785 |
| work_keys_str_mv | AT tamarngoldberg newonsetinsomniainapediatricpatientacaseofantinmdareceptorencephalitis AT michaelfcellucci newonsetinsomniainapediatricpatientacaseofantinmdareceptorencephalitis |