Catatonia As Initial Presentation in Anti-N-Methyl-D-Aspartate (NMDA) Receptor Encephalitis: A Case Report of a 19-Year-Old Patient
2024

Catatonia in a 19-Year-Old with Anti-NMDA Receptor Encephalitis

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Fuentes-Calvo Irving, Gomez-Oropeza Irene, Hernandez-Carrasco Adriana, Martinez Medina Salvador

Primary Institution: National Institute of Neurology and Neurosurgery 'Dr. Manuel Velasco Suárez', Mexico City, MEX

Conclusion

This case highlights the rarity of catatonia as an initial presentation in young patients with autoimmune encephalitis and emphasizes the need for a comprehensive treatment approach.

Supporting Evidence

  • The patient presented with psychiatric symptoms and catatonia, which are common in autoimmune encephalitis.
  • EEG findings indicated generalized dysfunction, supporting the diagnosis of encephalitis.
  • The presence of anti-NMDAR antibodies in serum confirmed the autoimmune nature of the condition.
  • Management included methylprednisolone and plasma exchanges, leading to clinical improvement.

Takeaway

A 19-year-old girl showed unusual symptoms of catatonia due to a brain condition called anti-NMDA receptor encephalitis, which is rare in young people. She received treatment and is improving.

Methodology

The case involved clinical evaluation, lumbar puncture, EEG, and CT scans to diagnose and manage the patient's condition.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

19-year-old female from Mexico with no significant personal medical history.

Digital Object Identifier (DOI)

10.7759/cureus.74259

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