61 岁西班牙裔男性抗 N-甲基-D-天冬氨酸受体脑炎的不典型表现。
Atypical presentation of anti-N-methyl-D-aspartate receptor encephalitis in a 61-year-old Hispanic man.
机构信息
College of Osteopathic Medicine, Touro University California, Vallejo, California, USA
Family and Community Medicine, UCSF Fresno Center for Medical Education, Fresno, California, USA.
出版信息
BMJ Case Rep. 2020 Dec 10;13(12):e238347. doi: 10.1136/bcr-2020-238347.
Abstract
A 61-year-old Hispanic man with no psychiatric history presented with an acute onset of personality changes, including aggression and hypersexuality, which progressed to hallucinations and fluctuations in mental status, and was diagnosed with anti-N-methyl-D-aspartate receptor encephalitis. This report emphasises the importance of having anti-NDMA receptor encephalitis on the list of differential diagnoses in acute, unprovoked personality changes in older adults.
摘要
一位 61 岁的西班牙裔男性，无精神病史，急性起病出现人格改变，包括攻击性和性欲亢进，进而出现幻觉和精神状态波动，被诊断为抗 N-甲基-D-天冬氨酸受体脑炎。本报告强调了在老年患者急性、无诱因人格改变的鉴别诊断中列出抗 NMDA 受体脑炎的重要性。
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