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Case Report
Early operative treatment of anti-N-methyl D-aspartate (anti-NMDA) receptor encephalitis in a patient with ovarian teratoma
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1
Department of Obstetrics and Gynecology, Osaka City University, Graduate School of Medicine, Osaka (Japan)
Clin. Exp. Obstet. Gynecol. 2015, 42(6), 819–821;
https://doi.org/10.12891/ceog1999.2015
Published: 10 December 2015
Abstract
Background: Anti-N-methyl D-aspartate (anti-NMDA) receptor encephalitis is often accompanied by ovarian teratoma. Early tumor resection is reported to be effective as a treatment. Case: A 21-year-old woman presented with anti-NMDA receptor encephalitis which was accompanied by ovarian teratoma. The present case was a very rare case of an early stage of anti-NMDA receptor encephalitis receiving operative treatment before confirming the presence of anti-NMDA receptor antibody. The diagnosis was established postoperatively by identifying anti-NMDA receptor antibody. Conclusion: In case of suspecting anti-NMDA receptor encephalitis in a patient with ovarian teratoma, early operative treatment should be considered even before confirming the presence of anti-NMDA receptor antibody.
Keywords
Anti-NMDA receptor encephalitis
Ovarian teratoma