scholarly journals The Management of Long-Term Psychiatric Sequelae in a Young Woman Who Suffered From Suspected Autoimmune Limbic Encephalitis

2020 ◽  
Vol 11 ◽  
pp. 117955732096252
Author(s):  
Laura Fusar-Poli ◽  
Alberto Gabbiadini ◽  
Giulia Battaglia ◽  
Maria Salvina Signorelli ◽  
Eugenio Aguglia
Keyword(s):  
Slow Release ◽  
Limbic Encephalitis ◽  
Psychiatric Symptomatology ◽  
Psychogenic Seizures ◽  
Daily Frequency ◽  
Autoimmune Limbic Encephalitis ◽  
Self Harm ◽  
Psychiatric Sequelae ◽  
Dysphoric Mood

We report the case of a 23-year-old woman who presented to our Psychiatry Unit with a complex psychiatric symptomatology, 6 years after suffering from a form of encephalopathy which was retrospectively and hypothetically labeled as autoimmune limbic encephalitis. Over the years, several psychopharmacological therapies had been initiated, but none of them led to substantial remission of symptomatology. During the first visit, symptoms were characterized by dysphoric mood with suicidal ideation, anxiety, delusional thoughts. Self-harm and psychogenic seizures with daily frequency were also reported. A therapy with slow-release lithium sulfate, lurasidone, and lorazepam was prescribed. After 6 months of treatment, psychopathological manifestations significantly improved.

Dissociation findings between short-term and long-term memory in autoimmune limbic encephalitis

2017 ◽  
Vol 381 ◽  
pp. 126-127 ◽  
Author(s):  
Pedro Nascimento Alves ◽  
Carolina Maruta ◽  
Luísa Albuquerque ◽  
Isabel Pavão Martins
Keyword(s):  
Limbic Encephalitis ◽  
Long Term Memory ◽  
Short Term ◽  
Term Memory ◽  
Autoimmune Limbic Encephalitis

scholarly journals Cognitive Impairments Preceding and Outlasting Autoimmune Limbic Encephalitis

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Robert Gross ◽  
Jennifer Davis ◽  
Julie Roth ◽  
Henry Querfurth
Keyword(s):  
Cognitive Deficits ◽  
Memory Impairment ◽  
Limbic Encephalitis ◽  
Neuropsychological Testing ◽  
Diagnostic Challenge ◽  
Initial Manifestation ◽  
Personality Changes ◽  
Immune Therapies ◽  
Autoimmune Limbic Encephalitis

Mild cognitive impairment (MCI) can be the initial manifestation of autoimmune limbic encephalitis (ALE), a disorder that at times presents a diagnostic challenge. In addition to memory impairment, clinical features that might suggest this disorder include personality changes, agitation, insomnia, alterations of consciousness, and seizures. Once recognized, ALE typically responds to treatment with immune therapies, but long-term cognitive deficits may remain. We report two cases of patients with MCI who were ultimately diagnosed with ALE with antibodies against the voltage gated potassium channel complex. Months after apparent resolution of their encephalitides, both underwent neuropsychological testing, which demonstrated persistent cognitive deficits, primarily in the domains of memory and executive function, for cases 1 and 2, respectively. A brief review of the literature is included.

ASL MRI and 18F-FDG-PET in autoimmune limbic encephalitis: clues from two paradigmatic cases

2021 ◽  
Author(s):  
Alessandro Dinoto ◽  
Marta Cheli ◽  
Miloš Ajčević ◽  
Franca Dore ◽  
Carmelo Crisafulli ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Limbic Encephalitis ◽  
Autoimmune Limbic Encephalitis ◽  
18F Fdg

Botryoid nuclei of neutrophils and monocytes in autoimmune limbic encephalitis

2012 ◽  
Vol 95 (4) ◽  
pp. 329-330 ◽  
Author(s):  
Akihito Fujimi ◽  
Yuki Ikeda ◽  
Kaoru Ono ◽  
Yuji Kanisawa
Keyword(s):  
Limbic Encephalitis ◽  
Autoimmune Limbic Encephalitis

scholarly journals Repetition of deliberate self-harm and subsequent suicide risk: Long-term follow-up study of 11 583 patients

2004 ◽  
Vol 185 (1) ◽  
pp. 70-75 ◽  
Author(s):  
Daniel Louis Zahl ◽  
Keith Hawton
Keyword(s):  
Relative Risk ◽  
Suicide Risk ◽  
Single Episode ◽  
Deliberate Self Harm ◽  
Young Females ◽  
Follow Up Study ◽  
Increased Risk ◽  
Self Harm

BackgroundRepetition of deliberate self-harm (DSH) is a risk factor for suicide. Little information is available on the risk for specific groups of people who deliberately harm themselves repeatedly.AimsTo investigate the long-term risk of suicide associated with repetition of DSH by gender, age and frequency of repetition.MethodA mortality follow-up study to the year 2000 was conducted on 11583 people who presented to the general hospital in Oxford between 1978 and 1997. Repetition of DSH was determined from reported episodes prior to the index episode and episodes presenting to the same hospital during the follow-up period. Deaths were identified through national registers.ResultsThirty-nine percent of patients repeated the DSH. They were at greater relative risk of suicide than the single-episode DSH group (2.24; 95% CI 1.77–2.84). The relative risk of suicide in the repeated DSH group compared with the single-episode DSH group was greater in females (3.5; 95% C11.3–2.4) than males (1.8; 95% C1 2.3–5.3) and was inversely related to age (up to 54 years). Suicide risk increased further with multiple repeat episodes of DSH in females.ConclusionsRepetition of DSH is associated with an increased risk of suicide in males and females. Repetition may be a better indicator of risk in females, especially young females.

scholarly journals Determinants of cognition in autoimmune limbic encephalitis—A retrospective cohort study

Hippocampus ◽  
2021 ◽  
Author(s):  
Christoph Mueller ◽  
Lisa M. Langenbruch ◽  
Johanna M. H. Rau ◽  
Tobias Brix ◽  
Christine Strippel ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Limbic Encephalitis ◽  
Autoimmune Limbic Encephalitis

Autoimmune Limbic Encephalitis

2019 ◽  
pp. 567-597
Author(s):  
Shahar Shelly ◽  
Ram Narayan ◽  
Divyanshu Dubey
Keyword(s):  
Limbic Encephalitis ◽  
Autoimmune Limbic Encephalitis

scholarly journals Long-term hospital attendance of children and adults who have undergone removal of normal or inflamed appendices

2002 ◽  
Vol 181 (6) ◽  
pp. 526-530 ◽  
Author(s):  
Nicola J. Dummett ◽  
Nicola J. Maughan ◽  
Anne Worrall-Davies
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Attendance Rates ◽  
Liaison Psychiatry ◽  
Abdominal Symptoms ◽  
Secondary Health Care ◽  
Care Systems ◽  
Self Harm ◽  
Males And Females

BackgroundEarly studies suggested that presentations with unexplained acute abdominal pain were associated with increased long-term rates of hospital attendance and self-harm, especially in women, but few studies were large enough for definitive findings.AimsTo test the hypothesis that such presentations are followed by higher long-term utilisation rates of secondary health care even excluding further abdominal symptoms, and particularly for self-harm, than presentations with acute appendicitis.MethodNew hospital attendance rates, liaison psychiatry attendances and self-harm attendances of patients with normal appendices at emergency appendicectomy were compared with those of appendicitis patients.ResultsAttendance rates of all kinds were significantly higher for normal appendix patients than for appendicitis patients, with equal strengths of finding for males and females.ConclusionsPeople with normal appendices at emergency appendicectomy show higher long-term rates of hospital attendance. This has implications for how these patients are best managed by health care systems.

Sign in / Sign up

Export Citation Format

Share Document