Dazed, Confused, and Asystolic: Possible Signs of Anti-N-Methyl-D-Aspartate Receptor Encephalitis

被引：10

作者：

Ziaeian, Boback ^{[1
]}

Shamsa, Kamran ^{[1
]}

机构：

[1] Univ Calif Los Angeles, Div Cardiol, David Geffen Sch Med, Los Angeles, CA 90095 USA

来源：

TEXAS HEART INSTITUTE JOURNAL | 2014年 / 42卷 / 02期

关键词：

Anti-N-methyl-D-aspartate receptor; encephalitis/complications/diagnosis/etiology/therapy; asystole; delirium; dementia; amnestic; cognitive; disorders/immunology; disease progression; female; heart block; immunosuppressive agents/therapeutic use; immunotherapy/methods; ovarian neoplasms/complications; paraneoplastic syndromes; nervous system; syncope; vasovagal/etiology; teratoma/complications; DIAGNOSIS;

D O I：

10.14503/THIJ-13-3987

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Anti-N-methyl-d-aspartate (NMDA) receptor encephalitis is a rare panencephalitis that can present with severe cardiac dysrhythmias. We present a case of a 19-year-old woman with no significant medical history who presented with progressive changes in mental status and profound ictal asystole that necessitated the placement of an external temporary pacemaker. She was diagnosed with and treated for anti-NMDA receptor encephalitis, and she recovered after a prolonged and complicated hospitalization. We review the pathophysiology and management of anti-NMDA receptor encephalitis, as well as its cardiac manifestations.

引用

页码：175 / 177

页数：3

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