Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is potentially lethal, but it is also a treatable autoimmune disorder characterized by prominent psychiatric and neurologic symptoms. It is often accompanied with teratoma or other neoplasm, especially in female patients. Anti-NMDAR antibodies...

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Main Authors: Cai-yun Liu, Jie Zhu, Xiang-Yu Zheng, Chi Ma, Xu Wang
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2017/6361479
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author Cai-yun Liu
Jie Zhu
Xiang-Yu Zheng
Chi Ma
Xu Wang
author_facet Cai-yun Liu
Jie Zhu
Xiang-Yu Zheng
Chi Ma
Xu Wang
author_sort Cai-yun Liu
collection DOAJ
description Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is potentially lethal, but it is also a treatable autoimmune disorder characterized by prominent psychiatric and neurologic symptoms. It is often accompanied with teratoma or other neoplasm, especially in female patients. Anti-NMDAR antibodies in cerebrospinal fluid (CSF) and serum are characteristic features of the disease, thereby suggesting a pathogenic role in the disease. Here, we summarize recent studies that have clearly documented that both clinical manifestations and the antibodies may contribute to early diagnosis and multidisciplinary care. The clinical course of the disorder is reversible and the relapse could occur in some patients. Anti-NMDAR encephalitis coexisting with demyelinating disorders makes the diagnosis more complex; thus, clinicians should be aware of the overlapping diseases.
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institution Kabale University
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language English
publishDate 2017-01-01
publisher Wiley
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series Mediators of Inflammation
spelling doaj-art-eb2c9fba937b410282603a42b2e427c32025-02-03T01:29:07ZengWileyMediators of Inflammation0962-93511466-18612017-01-01201710.1155/2017/63614796361479Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune EncephalitisCai-yun Liu0Jie Zhu1Xiang-Yu Zheng2Chi Ma3Xu Wang4Department of Neurology and Neuroscience Center, The First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Neurology and Neuroscience Center, The First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Neurology and Neuroscience Center, The First Hospital of Jilin University, Changchun 130021, ChinaDepartment of Neurosurgery, The First Hospital of Jilin University, Jilin University, Changchun 130021, ChinaDepartment of Neurology and Neuroscience Center, The First Hospital of Jilin University, Changchun 130021, ChinaAnti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is potentially lethal, but it is also a treatable autoimmune disorder characterized by prominent psychiatric and neurologic symptoms. It is often accompanied with teratoma or other neoplasm, especially in female patients. Anti-NMDAR antibodies in cerebrospinal fluid (CSF) and serum are characteristic features of the disease, thereby suggesting a pathogenic role in the disease. Here, we summarize recent studies that have clearly documented that both clinical manifestations and the antibodies may contribute to early diagnosis and multidisciplinary care. The clinical course of the disorder is reversible and the relapse could occur in some patients. Anti-NMDAR encephalitis coexisting with demyelinating disorders makes the diagnosis more complex; thus, clinicians should be aware of the overlapping diseases.http://dx.doi.org/10.1155/2017/6361479
spellingShingle Cai-yun Liu
Jie Zhu
Xiang-Yu Zheng
Chi Ma
Xu Wang
Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis
Mediators of Inflammation
title Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis
title_full Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis
title_fullStr Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis
title_full_unstemmed Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis
title_short Anti-N-Methyl-D-aspartate Receptor Encephalitis: A Severe, Potentially Reversible Autoimmune Encephalitis
title_sort anti n methyl d aspartate receptor encephalitis a severe potentially reversible autoimmune encephalitis
url http://dx.doi.org/10.1155/2017/6361479
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AT xiangyuzheng antinmethyldaspartatereceptorencephalitisaseverepotentiallyreversibleautoimmuneencephalitis
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