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Effect of Clozapine on Anti-N-Methyl-D-Aspartate Receptor Encephalitis With Psychiatric Symptoms: A Series of Three Cases.

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成果类型:
期刊论文
作者:
Yang, Ping;Li, Liang;Xia, Shuaishuai;Zhou, Bin;Zhu, Yong;...
通讯作者:
Huang, Huiyong;Li, Feng
作者机构:
[Yang, Ping; Zhou, Bin; Zhou, Gaoya; Tu, Erwen; Zhu, Yong] Hunan Univ Chinese Med, Dept Psychiat, Hunan Brain Hosp, Clin Med Sch, Changsha, Hunan, Peoples R China.
[Li, Liang; Huang, Huiyong; Li, F; Li, Feng; Xia, Shuaishuai] Hunan Univ Chinese Med, Prov Key Lab TCM Diagnost, Changsha, Hunan, Peoples R China.
[Huang, Tianho] Shanghai Inst Measurement & Testing Technol, Shanghai, Peoples R China.
[Li, Feng] Univ Calif Los Angeles, Sch Dent, Los Angeles, CA 90024 USA.
通讯机构:
[Huang, HY; Li, F] H
[Li, Feng] U
Hunan Univ Chinese Med, Prov Key Lab TCM Diagnost, Changsha, Hunan, Peoples R China.
Univ Calif Los Angeles, Sch Dent, Los Angeles, CA 90024 USA.
语种:
英文
关键词:
anti-NMDA receptor encephalitis;antipsychotic therapy;clozapine;hormone;intravenous immunoglobulin;psychiatric symptoms
期刊:
Frontiers in Neuroscience
ISSN:
1662-4548
年:
2019
卷:
13
期:
APR
页码:
315
基金类别:
This work was supported by grants from the National Natural Science Foundation of China (Grant Nos. 81603512 and 81874429), the Hunan Chinese Medicine Science and Research Project (Grant No. 201818), and the Science and Technology Innovation Project of Hunan Province (Grant Nos. 2017SK50317 and 2017SK50313).
机构署名:
本校为其他机构
院系归属:
中医学院
临床医学院
中医诊断研究所
摘要:
The main clinical manifestations of anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis are acute or subacute seizures, cognition impairment, and psychiatric symptoms. Nowadays, the scheme of antipsychotic therapy for this disease has not been established. This study reports three cases of anti-NMDAR encephalitis with psychiatric symptoms. The anti-NMDAR antibodies in cerebrospinal fluid (CSF) and serum were positive. The psychiatric symptoms still existed after intravenous immunoglobulin (IVIG) treatment; thus, clozapine was used for antipsychotic therapy. Case 1 was a 37-year-old ma...

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