Uncommon organic psychosis: an adolescent case of Anti-N-Methyl-D-Aspartate receptor encephalitis
1Bakirkoy Training and Research Hospital for Psychiatry, Neurology and Neurosurgery, Department of Child and Adolescent Psychiatry, Istanbul - Turkey
2Cerrahpasa Faculty of Medicine, Department of Pediatrics, Istanbul - Turkey
3Child and Adolescent Psychiatrist, Ankara Pediatric and Pediatric Hematology Oncology Training and Research Hospital, Department of Child and Adolescent Psychiatry, Ankara - Turkey
Dusunen Adam J Psychiatr Neurol Sci 2015; 28(2): 171-174 DOI: 10.5350/DAJPN2015280211
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Abstract

Psychotic symptoms may present in many neurological and general medical conditions in which, diagnosing is sometimes difficult. We reported a 16-year-old female presenting acute psychotic symptoms and diagnosed with Anti-N-Methyl-D-Aspartate Receptor (Anti-NMDAR) encephalitis. In this case report, main characteristics of anti-NMDAR encephalitis were highlighted and reviewed. Clinicians, especially psychiatrists, should consider a differential diagnosis of anti-NMDAR encephalitis in young, female patients with acute onset of psychotic symptoms, disorganized behaviors, decreased level of consciousness and new onset seizures, and remember that laboratory and imaging tests can be negative for a period of time.


Nadir organik psikoz: Bir ergen Anti-N-Metil-D-Aspartat reseptor ensefaliti olgusu
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Dusunen Adam Journal of Psychiatry and Neurological Sciences 2015; 28(2): 171-174 DOI: 10.5350/DAJPN2015280211

Psikotik belirtiler tanılamanın bazen güç olduğu çok sayıda nörolojik ve genel tıbbi durumlarda ortaya çıkabilir. Olgu sunumunun konusu, akut psikotik belirtilerle gelen ve Anti-N-Metil-D-Aspartat Reseptor (Anti-NMDAR) ensefaliti tanısı alan 16 yaşında kızdır. Bu olgu sunumunda, Anti-NMDAR ensefalitinin ana özellikleri vurgulandı ve gözden geçirildi. Klinisyenler, özellikle psikiyatristler, akut psikotik belirtiler, dezorganize davranışlar, azalmış bilinç düzeyi ve yeni başlayan nöbetleri olan genç kız hastalarda Anti-NMDAR ensefaliti ayırıcı tanısını düşünmeli ve bir süre laboratuar ve görüntüleme testlerinin negatif olabileceğini hatırlamalıdırlar.