지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Paraneoplastic limbic encephalitis associated with ovarian teratoma has variable clinical manifestations, including hallucination, abnormal behavior, amnesia, mental change, fever, chorea and dystonia, and often has antibodies to N-methyl-D-aspartate receptor (NMDAR), however cases without tumor or antibodies to NMDAR have also been reported. Here, we describe a 35-year-old female who was initially misdiagnosed as schizophrenia because she presented with acute onset of psychiatric symptoms, including visual hallucination, abnormal behavior, confusion, and memory impairment. Three days after admission, she developed high fever refractory to antibiotics. Brain MRI and examination of cerebrospinal fluid were normal. Computerized tomography of the pelvis showed an ovarian teratoma. The patient showed complete improvement after surgical removal of the ovarian teratoma and steroid therapy. We suggest that physicians should consider the possibility of paraneoplastic limbic encephalitis in patients who present with acute onset of psychiatric symptoms with high fever or movement disorder.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Aydiner A / 1998 / Paraneoplastic limbic encephalitis with immature ovarian teratoma--a case report / J Neurooncol 37 : 63 ~ 66
Cakirer S / 2002 / Paraneoplastic limbic encephalitis: case report / Comput Med Imaging Graph 26 : 55 ~ 58
Dalmau J / 2008 / Anti-NMDA-receptor encephalitis: case series and analysis of the effects of antibodies / Lancet Neurol 7 : 1091 ~ 1098
Granerod J / 2007 / The epidemiology of acute encephalitis / Neuropsychol Rehabil 17 : 406 ~ 428
Granerod J / 2010 / Causes of encephalitis and differences in their clinical presentations in England: a multicentre, population-based prospective study / Lancet Infect Dis 1
Cakirer S / 2002 / Paraneoplastic limbic encephalitis: case report / Comput Med Imaging Graph 26 : 55 ~ 58
Dalmau J / 2008 / Anti-NMDA-receptor encephalitis: case series and analysis of the effects of antibodies / Lancet Neurol 7 : 1091 ~ 1098
Granerod J / 2007 / The epidemiology of acute encephalitis / Neuropsychol Rehabil 17 : 406 ~ 428
Granerod J / 2010 / Causes of encephalitis and differences in their clinical presentations in England: a multicentre, population-based prospective study / Lancet Infect Dis 1
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