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Challenges in providing critical care for patients with anti-N-methyl-D-aspartate receptor encephalitis.
- Source :
-
Chest [Chest] 2014 May; Vol. 145 (5), pp. 1143-1147. - Publication Year :
- 2014
-
Abstract
- Anti-N-methyl-d-aspartate receptor encephalitis (NMDARE) is characterized by a constellation of psychiatric, neurologic, autonomic, and cardiopulmonary manifestations. Although patients typically recover with appropriate treatment, they commonly require weeks to months of inpatient care, including prolonged stays in critical care units. This case series not only advocates for consideration of the disease in the appropriate context but also specifically highlights the distinct challenges intensivists encounter caring for patients with NMDARE. With a greater knowledge of the nuances and sequelae of NMDARE, critical care specialists will be better equipped to anticipate and manage the potentially life-threatening complications of the disease.
- Subjects :
- Anti-N-Methyl-D-Aspartate Receptor Encephalitis diagnosis
Cerebrospinal Fluid chemistry
Cognitive Behavioral Therapy methods
Critical Care standards
Dose-Response Relationship, Drug
Female
Humans
Immunologic Factors administration & dosage
Injections, Intravenous
Receptors, N-Methyl-D-Aspartate immunology
Receptors, N-Methyl-D-Aspartate metabolism
Young Adult
Anti-N-Methyl-D-Aspartate Receptor Encephalitis therapy
Critical Care trends
Glucocorticoids administration & dosage
Immunoglobulins, Intravenous administration & dosage
Plasma Exchange methods
Respiration, Artificial methods
Subjects
Details
- Language :
- English
- ISSN :
- 1931-3543
- Volume :
- 145
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Chest
- Publication Type :
- Academic Journal
- Accession number :
- 24798839
- Full Text :
- https://doi.org/10.1378/chest.13-1490