John Libbey Eurotext

Epileptic Disorders

The Educational Journal of the

Focal EEG slowing and chorea: electroclinical clues to the diagnosis of anti-NMDAR encephalitis Volume 16, numéro 4, December 2014

Vidéo

  • Focal EEG slowing and chorea: electroclinical clues to the diagnosis of anti-NMDAR encephalitis

Illustrations

  • Figure 1
Auteurs
1 Department of Clinical Neurophysiology, Poole Hospital NHS Foundation Trust, Poole
2 Department of Child Health, Poole Hospital NHS Foundation Trust, Poole
3 Department of Child Health, University Hospital Southampton, Southampton, UK
* Correspondence: Abena Osei-Lah Department of Clinical Neurophysiology, Poole Hospital, Longfleet Road, Poole BH15 2JB, UK
  • Mots-clés : acute dyskinesia, anti-NMDAR encephalitis, chorea
  • DOI : 10.1684/epd.2014.0708
  • Page(s) : 482-5
  • Année de parution : 2014

Variations in clinical presentation can lead to delays in the diagnosis and initiation of treatment of anti-N-methyl-D-aspartate receptor encephalitis. Most patients have an EEG study performed early in the course of their illness. Although not specific, there may be clues in the electroclinical features that should alert clinicians and electroencephalographers to the possibility of this diagnosis. This case is a reminder that anti- anti-N-methyl-D-aspartate receptor encephalitis may present initially with a movement disorder as the sole symptom, without features of an encephalopathy. In addition, it adds to the growing body of evidence that recognition of certain electroclinical clues may shorten the time to diagnosis. [Published with video sequence]