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Severe tooth loss secondary to orofacial dyskinesias in anti-NMDA receptor encephalitis.
- Source :
-
BMJ case reports [BMJ Case Rep] 2019 Mar 06; Vol. 12 (3). Date of Electronic Publication: 2019 Mar 06. - Publication Year :
- 2019
-
Abstract
- A 24-year-old woman with no significant medical or psychiatric history was brought to the emergency department due to altered mental status and bizarre behaviour. Physical examination was remarkable for decreased speech output and orofacial dyskinesia. Upon further evaluation, electroencephalogram showed extreme delta brush waves and cerebrospinal fluid was positive for anti-NMDA receptor antibodies. Despite aggressive treatment with steroids and immunosuppressive therapy, her dyskinesia was severe enough to cause tooth loss, tongue and lip laceration.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Anti-N-Methyl-D-Aspartate Receptor Encephalitis cerebrospinal fluid
Anti-N-Methyl-D-Aspartate Receptor Encephalitis drug therapy
Diagnosis, Differential
Dyskinesias diagnosis
Dyskinesias drug therapy
Electroencephalography
Female
Humans
Immunosuppressive Agents therapeutic use
Lacerations
Mental Disorders diagnosis
Mental Disorders psychology
Receptors, N-Methyl-D-Aspartate immunology
Steroids therapeutic use
Tongue pathology
Treatment Outcome
Young Adult
Anti-N-Methyl-D-Aspartate Receptor Encephalitis complications
Dyskinesias complications
Mental Disorders etiology
Tooth Loss etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 12
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 30846455
- Full Text :
- https://doi.org/10.1136/bcr-2018-228380