scholarly journals Hypoglutamatergic state is associated with reduced cerebral glucose metabolism in anti-NMDA receptor encephalitis: a case report

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Dominique Endres ◽  
Evgeniy Perlov ◽  
Oliver Stich ◽  
Sebastian Rauer ◽  
Simon Maier ◽  
...  
2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yo-Han Joo ◽  
Yun-Kwan Kim ◽  
In-Gyu Choi ◽  
Hyeon-Jin Kim ◽  
Young-Don Son ◽  
...  

Abstract Background Perturbed functional coupling between the metabotropic glutamate receptor-5 (mGluR5) and N-methyl-d-aspartate (NMDA) receptor-mediated excitatory glutamatergic neurotransmission may contribute to the pathophysiology of psychiatric disorders such as schizophrenia. We aimed to establish the functional interaction between mGluR5 and NMDA receptors in brain of mice with genetic ablation of the mGluR5. Methods We first measured the brain glutamate levels with magnetic resonance spectroscopy (MRS) in mGluR5 knockout (KO) and wild-type (WT) mice. Then, we assessed brain glucose metabolism with [18F]fluorodeoxyglucose ([18F]FDG) positron emission tomography before and after the acute administration of an NMDA antagonist, MK-801 (0.5 mg/kg), in the same mGluR5 KO and WT mice. Results Between-group comparisons showed no significant differences in [18F]FDG standardized uptake values (SUVs) in brain of mGluR5 KO and WT mice at baseline, but widespread reductions in mGluR5 KO mice compared to WT mice after MK-801 administration (p < 0.05). The baseline glutamate levels did not differ significantly between the two groups. However, there were significant negative correlations between baseline prefrontal glutamate levels and regional [18F]FDG SUVs in mGluR5 KO mice (p < 0.05), but no such correlations in WT mice. Fisher’s Z-transformation analysis revealed significant between-group differences in these correlations (p < 0.05). Conclusions This is the first multimodal neuroimaging study in mGluR5 KO mice and the first report on the association between cerebral glucose metabolism and glutamate levels in living rodents. The results indicate that mGluR5 KO mice respond to NMDA antagonism with reduced cerebral glucose metabolism, suggesting that mGluR5 transmission normally moderates the net effects of NMDA receptor antagonism on neuronal activity. The negative correlation between glutamate levels and glucose metabolism in mGluR5 KO mice at baseline may suggest an unmasking of an inhibitory component of the glutamatergic regulation of neuronal energy metabolism.


2020 ◽  
Vol 87 ◽  
pp. 179-181 ◽  
Author(s):  
Adelaide Panariello ◽  
Roberta Bassetti ◽  
Anna Radice ◽  
Roberto Rossotti ◽  
Massimo Puoti ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Michael MacMahon ◽  
Morag R. Naysmith ◽  
Stephanie McCallion ◽  
Jonathan Rhodes

A young lady was ventilated on intensive care for a prolonged period with NMDA receptor encephalitis. She had undergone steroid, immunoglobulin, and plasmapheresis with no evidence of recovery. Her main management issue was the control of severe orofacial and limb dyskinesia. Large doses of sedating agents had been used to control the dystonia but were ineffective, unless she was fully anaesthetised. The introduction of a ketamine infusion was associated with a dramatic improvement in her symptoms such that it was possible to remove her tracheostomy two days after commencement. She was discharged shortly after that and is making a good recovery. The successful use of ketamine has not previously been described in this context, and we hope this case report will provide some insight into the management of this rare but serious condition.


2011 ◽  
Vol 26 (7) ◽  
pp. 811-816 ◽  
Author(s):  
Gregory S. Day ◽  
Sasha M. High ◽  
Bianca Cot ◽  
David F. Tang-Wai

2016 ◽  
Vol 5 (6) ◽  
pp. 845-849 ◽  
Author(s):  
Elzbieta Rypulak ◽  
Michal Borys ◽  
Pawel Piwowarczyk ◽  
Magdalena Fijalkowska ◽  
Beata Potrec ◽  
...  

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