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A case report of anti-NMDAR encephalitis complicated with acute peripheral nerve damage / 中国综合临床
Clinical Medicine of China ; (12): 272-275, 2023.
Article en Zh | WPRIM | ID: wpr-992503
Biblioteca responsable: WPRO
ABSTRACT
N-methyl-D-aspartate receptor (NMDAR) encephalitis in combination with acute peripheral nerve damage is rare. A young female patient with anti-NMDAR encephalitis was admitted to Qianfoshan Hospital in Shandong Province on October 23, 2022. The main manifestations were abnormal mental behavior, consciousness disorders, and flaccid paralysis. Electromyography indicated axonal damage to the upper and lower extremities. Patient was in critical condition and admitted to the ICU with tracheal intubation for central hypoventilation. A combination of critical polyneuropathy was considered. The prognosis was good after hormone shock, immunosuppressive therapy, surgical therapy, anti-infection, respiratory support and symptomatic support. The diagnosis of anti-NMDAR encephalitis with acute peripheral nerve damage is difficult. Immune factors need to be considered and paraneoplastic syndrome should be differentially diagnosed.
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Texto completo: 1 Base de datos: WPRIM Idioma: Zh Revista: Clinical Medicine of China Año: 2023 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Idioma: Zh Revista: Clinical Medicine of China Año: 2023 Tipo del documento: Article