Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis
Anti-NMDA receptor encephalitis: an important differential diagnosis in psychosis
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DOI：
10.1192/bjp.bp.111.092197
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发表时间：
2011-12-01
影响因子：
10.5
通讯作者：
Murphy, Kieran C.
中科院分区：
文献类型：
--
作者：
Barry, Helen;Hardiman, Orla;Murphy, Kieran C.
我们报告了四例确诊的抗NMDA受体脑炎；其中三例最初表现为严重的精神症状，另一例在疾病的初始阶段出现了明显的精神症状。文中还描述了1例患者的脑活检结果。精神科医生应该考虑出现精神病患者的抗NMDA受体脑炎，以及运动障碍、癫痫发作和紧张症的其他特征，特别是在以前没有精神障碍病史的情况下。
We present four cases of confirmed anti-NMDA receptor encephalitis; three presented initially with serious psychiatric symptoms and the other developed significant psychiatric symptoms during the initial phase of illness. Brain biopsy findings of one patient are also described. Psychiatrists should consider anti-NMDA receptor encephalitis in patients presenting with psychosis and additional features of dyskinesias, seizures and catatonia, particularly where there is no previous history of psychiatric disorder.