Details

Autor(en) / Beteiligte

• Alaya, Andrew
• van Dunné, Frédérique

Titel

Can ultrasound be the diagnostic modality to diagnosis anti-N-methyl-D-aspartate receptor encephalitis?

Ist Teil von

• BJR case reports, 2022-09, Vol.8 (5)

Erscheinungsjahr

2022

Link zum Volltext

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• Anti-N-methyl-D-aspartate receptor encephalitis is an auto-immune paraneoplastic disease of the limbic system. This syndrome may present itself as a range of psychiatric, neurological and autonomic features. It is associated with long-term morbidity and mortality. The syndrome is associated with ovarian teratoma affecting mainly young females. If the syndrome is identified at an early stage, then a good prognosis is expected. In this case report, the ultrasound performed by an experienced and competent operator was more sensitive than MRI in diagnosing a small ovarian teratoma. Following the removal of the teratoma and with appropriate immunotherapy the patient’s condition improved. In the clinical suspicion of anti-A-methyl-D-aspartate receptor encephalitis, the first modality of choice should be an ultrasound of the ovaria performed by an experienced and competent operator.