Anti-NMDA receptor encephalitis triggered by epilepsy surgery

Anti-NMDA receptor encephalitis triggered by epilepsy surgery Journal of Neurology (2018) 265:1708–1710 https://doi.org/10.1007/s00415-018-8918-4 LE T TER TO  THE   EDITORS 1 1 1 1 1 Judith N. Wagner  · Gabriele Schwarz  · Gertraud Puttinger  · Anna Maria Hengsberger  · Stefan Guggenberger  · 2 3 4 1 Serge Weis  · Johannes Trenkler  · Martin Aichholzer  · Tim J. von Oertzen Received: 17 April 2018 / Revised: 23 May 2018 / Accepted: 25 May 2018 / Published online: 30 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Dear Sirs, and dexamethasone were introduced and the patient was dis- charged to a rehabilitation unit on day 45. We report on a patient diagnosed with anti-NMDA receptor Due to severe progressive dysarthria and dysphagia, the (NMDAR) encephalitis after epilepsy surgery. We argue that patient was transferred back to our hospital on day 56. Sub- the encephalitis was directly induced by brain surgery, which sequently, the patient developed a new paresis of the right would render it the first such case published. arm. An MRI on day 56 revealed progress of the lesions A 40-year-old male had suffered from HSV1-encepha- (Fig. 1). CSF analysis showed 17 cells/µl. The HSV1-IgG-AI litis (HSVE) at the age of 3 years and subsequently devel- was elevated (4.47), HSV-PCR remained negative. Therapy oped drug-resistant frontal lobe epilepsy. Previous http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Neurology Springer Journals

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag GmbH Germany, part of Springer Nature
Subject
Medicine & Public Health; Neurology; Neurosciences; Neuroradiology
ISSN
0340-5354
eISSN
1432-1459
D.O.I.
10.1007/s00415-018-8918-4
Publisher site
See Article on Publisher Site

Abstract

Journal of Neurology (2018) 265:1708–1710 https://doi.org/10.1007/s00415-018-8918-4 LE T TER TO  THE   EDITORS 1 1 1 1 1 Judith N. Wagner  · Gabriele Schwarz  · Gertraud Puttinger  · Anna Maria Hengsberger  · Stefan Guggenberger  · 2 3 4 1 Serge Weis  · Johannes Trenkler  · Martin Aichholzer  · Tim J. von Oertzen Received: 17 April 2018 / Revised: 23 May 2018 / Accepted: 25 May 2018 / Published online: 30 May 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 Dear Sirs, and dexamethasone were introduced and the patient was dis- charged to a rehabilitation unit on day 45. We report on a patient diagnosed with anti-NMDA receptor Due to severe progressive dysarthria and dysphagia, the (NMDAR) encephalitis after epilepsy surgery. We argue that patient was transferred back to our hospital on day 56. Sub- the encephalitis was directly induced by brain surgery, which sequently, the patient developed a new paresis of the right would render it the first such case published. arm. An MRI on day 56 revealed progress of the lesions A 40-year-old male had suffered from HSV1-encepha- (Fig. 1). CSF analysis showed 17 cells/µl. The HSV1-IgG-AI litis (HSVE) at the age of 3 years and subsequently devel- was elevated (4.47), HSV-PCR remained negative. Therapy oped drug-resistant frontal lobe epilepsy. Previous

Journal

Journal of NeurologySpringer Journals

Published: May 30, 2018

References

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