Other mental disorders YDT due to brain damage and dysfunction and physical disease in patients with anti-NMDA encephalitis: Case report

I Made Wardana; I Gusti Ayu I. Ardani; Luh Nyoman A. Aryani; I Gusti Ayu T. Windiani; I Gusti Ngurah S. Adnyana; Yunias Setiawati

doi:10.21744/ijhms.v5n4.1948

Authors

I Made Wardana
madewardana57@gmail.com
Department of Psychiatry, Medical Faculty, Udayana University, Prof.dr.I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
I Gusti Ayu I. Ardani Department of Psychiatry, Medical Faculty, Udayana University, Prof.dr.I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
Luh Nyoman A. Aryani Department of Psychiatry, Medical Faculty, Udayana University, Prof.dr.I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
I Gusti Ayu T. Windiani Department of Paediatrics, Medical Faculty, Udayana University, Prof.dr.I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
I Gusti Ngurah S. Adnyana Department of Paediatrics, Medical Faculty, Udayana University, Prof.dr.I.G.N.G Ngoerah General Hospital, Denpasar, Bali, Indonesia
Yunias Setiawati Department of Psychiatry, Medical Faculty, Airlangga University, Dokter Soetomo Hospital, Surabaya, East Java, Indonesia

Keywords:

Autoimmune Encephalitis (AIE), brain and physical disease, case report, mental disorders YDT

Abstract

Autoimmune encephalitis (AIE) is considered one of the most common causes of acute noninfectious encephalitis. Autoimmune encephalitis is usually of acute or subacute onset and may become chronic later. Suggested mechanisms that may trigger AIE include tumor (paraneoplastic), infection (parainfection) or may be cryptogenic. Autoimmune encephalitis has a wide range of clinical manifestations including behavioral and psychiatric symptoms, autonomic disorders, movement disorders and seizures. In this Case Report 13 year old boy, Hindu, Balinese, currently attending junior high school, unmarried, student. The patient was consulted to the psychiatry department while in the Cempaka room because he looked restless and confused. The patient experienced mood swings in the form of an unstable mood, accompanied by irritability, difficulty calming down, feeling uncomfortable, disturbed sleep, and decreased appetite after the patient underwent treatment at the hospital since last February. On physical examination, physical status was found within normal limits, nutritional status was good, and general status was within normal limits. Examination of psychiatric status found an unnatural appearance that looked confused and uncomfortable, verbal and visual contact was lacking, clear consciousness, mood and affect were labile, in thought processes there was preoccupation with the disease, in perception there were visual hallucinations.

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