Erschienen in:
01.12.2012 | Original Communication
Anti-NMDA receptor encephalitis with associated catatonia during pregnancy
verfasst von:
A. McCarthy, J. Dineen, P. McKenna, M. Keogan, J. Sheehan, T. Lynch, K. O’Rourke
Erschienen in:
Journal of Neurology
|
Ausgabe 12/2012
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Abstract
Anti-NMDA-R encephalitis has been described as a cause of acute psychosis in young females. It is rare during pregnancy. We describe a primigravida 32-year-old woman with acute onset psychosis during the first trimester. Eight weeks after becoming pregnant, the patient became psychotic with associated catatonia and autonomic disturbance. Serum anti-NMDA-R antibodies were found. She responded to plasma exchange. At caesarean section, a healthy baby boy was born and a benign mature cystic teratoma was removed from the left ovary. Catatonia associated with psychosis may occur in pregnancy secondary to anti-NMDA-R encephalitis. Prompt and aggressive treatment can lead to a good outcome for both baby and mother.