Zhao Bailey, Nelson David G
From the Department of Emergency Medicine, University of Nevada School of Medicine.
University Medical Center, Las Vegas, NV.
Pediatr Emerg Care. 2019 Sep;35(9):e159-e161. doi: 10.1097/PEC.0000000000001853.
Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an underdiagnosed disease that has been described thus far only in case series. Patients, the majority of which are females, develop neuropsychiatric symptoms that can often be misdiagnosed as purely psychiatric illness. Although teratomas are nearly pathognomonic for anti-NMDAR encephalitis, these are less common in children and males. This case illustrates some common features of anti-NMDAR encephalitis and some of the challenges in diagnosis.
抗N-甲基-D-天冬氨酸受体（NMDAR）脑炎是一种诊断不足的疾病，迄今为止仅在病例系列中有所描述。患者大多数为女性，会出现神经精神症状，这些症状常常被误诊为单纯的精神疾病。虽然畸胎瘤几乎是抗NMDAR脑炎的特征性表现，但在儿童和男性中较少见。本病例说明了抗NMDAR脑炎的一些常见特征以及诊断中的一些挑战。
