Encefalitis autoinmune por anticuerpos contra el receptor GABA-A: Caso clínico

Among 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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Bibliographic Details
Main Authors: González R,Pablo, Hudson A,Lorena, Basáez M,Esteban, Miranda C,Marcelo
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2016
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016001100017
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