Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature
Objective: Psychiatric symptoms emerge in the early stages of anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, and patients often seek treatment in psychiatric departments before visiting any other general medical services. Numerous articles about anti-NMDAR encephalitis have been published in the scientific community worldwide, but few emphasize the role of psychiatry in symptom management.Case description: We describe the case of a patient with anti- -NMDAR encephalitis seen in our service and discuss the management of behavioral symptoms based on current scientific literature. High doses of atypical antipsychotics and benzodiazepines were used to control agitation, and trazodone was administered to treat insomnia.Comments: Consultation-liaison psychiatry may help the healthcare team adjust the management of neuropsychiatric complications that might affect inpatients with anti-NMDAR encephalitis.
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Associação de Psiquiatria do Rio Grande do Sul
2015
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oai:scielo:S2237-608920150001000472015-08-31Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literatureMonteiro,Vanina LimaBarreto,Felipe José NascimentoRocha,Paulo Marcos BrasilPrado,Paulo Henrique Teixeira doGarcia,Frederico DuarteCorrea,HumbertoNeves,Maila Castro Lourenço das Anti-NMDAR encephalitis consultation-liaison psychiatry behavioral symptoms Objective: Psychiatric symptoms emerge in the early stages of anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, and patients often seek treatment in psychiatric departments before visiting any other general medical services. Numerous articles about anti-NMDAR encephalitis have been published in the scientific community worldwide, but few emphasize the role of psychiatry in symptom management.Case description: We describe the case of a patient with anti- -NMDAR encephalitis seen in our service and discuss the management of behavioral symptoms based on current scientific literature. High doses of atypical antipsychotics and benzodiazepines were used to control agitation, and trazodone was administered to treat insomnia.Comments: Consultation-liaison psychiatry may help the healthcare team adjust the management of neuropsychiatric complications that might affect inpatients with anti-NMDAR encephalitis.info:eu-repo/semantics/openAccessAssociação de Psiquiatria do Rio Grande do SulTrends in Psychiatry and Psychotherapy v.37 n.1 20152015-03-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892015000100047en10.1590/2237-6089-2014-0036 |
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| author |
Monteiro,Vanina Lima Barreto,Felipe José Nascimento Rocha,Paulo Marcos Brasil Prado,Paulo Henrique Teixeira do Garcia,Frederico Duarte Correa,Humberto Neves,Maila Castro Lourenço das |
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Monteiro,Vanina Lima Barreto,Felipe José Nascimento Rocha,Paulo Marcos Brasil Prado,Paulo Henrique Teixeira do Garcia,Frederico Duarte Correa,Humberto Neves,Maila Castro Lourenço das Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature |
| author_facet |
Monteiro,Vanina Lima Barreto,Felipe José Nascimento Rocha,Paulo Marcos Brasil Prado,Paulo Henrique Teixeira do Garcia,Frederico Duarte Correa,Humberto Neves,Maila Castro Lourenço das |
| author_sort |
Monteiro,Vanina Lima |
| title |
Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature |
| title_short |
Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature |
| title_full |
Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature |
| title_fullStr |
Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature |
| title_full_unstemmed |
Managing severe behavioral symptoms of a patient with anti-NMDAR encephalitis: case report and findings in current literature |
| title_sort |
managing severe behavioral symptoms of a patient with anti-nmdar encephalitis: case report and findings in current literature |
| description |
Objective: Psychiatric symptoms emerge in the early stages of anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, and patients often seek treatment in psychiatric departments before visiting any other general medical services. Numerous articles about anti-NMDAR encephalitis have been published in the scientific community worldwide, but few emphasize the role of psychiatry in symptom management.Case description: We describe the case of a patient with anti- -NMDAR encephalitis seen in our service and discuss the management of behavioral symptoms based on current scientific literature. High doses of atypical antipsychotics and benzodiazepines were used to control agitation, and trazodone was administered to treat insomnia.Comments: Consultation-liaison psychiatry may help the healthcare team adjust the management of neuropsychiatric complications that might affect inpatients with anti-NMDAR encephalitis. |
| publisher |
Associação de Psiquiatria do Rio Grande do Sul |
| publishDate |
2015 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892015000100047 |
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