脑炎
自身免疫性脑炎
医学
癫痫持续状态
抗体
自身抗体
硫唑嘌呤
免疫学
胃肠病学
内科学
癫痫
疾病
病毒
精神科
作者
Pablo González R,Lorena Hudson A,Esteban Basáez M,Marcelo Miranda C
出处
期刊:Revista Medica De Chile
[SciELO]
日期:2016-11-01
卷期号:144 (11): 1491-1493
被引量:3
标识
DOI:10.4067/s0034-98872016001100017
摘要
Autoimmune encephalitis induced by antibodies against GABA -A receptorAmong autoimmune encephalitides, a prevalent group are those associated with antibodies against the N-Methyl-D-aspartate receptor, which present with behavior abnormalities, psychosis, seizures and abnormal movements.A new variant, mediated by antibodies against the GABA -A receptor, was recently described.We report a 66-years-old female with this form of encephalitis whose main manifestation was the presence of severe seizures leading to status epilepticus.The patient had a good response to immunomodulatory therapy with intravenous methylprednisolone, azathioprine and anticonvulsants.The laboratory tests initially detected anti-thyroid peroxidase antibodies which lead to the misdiagnosis of Hashimoto Encephalitis, which was ruled out after the detection of antibodies against GABA -A receptor.No malignancy was detected.
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