Anesthesia in anti‐N‐methyl‐D‐aspartate receptor encephalitis – is general anesthesia a requisite? A case report = Anestesia em encefalite antirreceptor de N‐metil‐ d ‐aspartato – a anestesia geral é um requisito? Relato de caso

Chaw, S.H. and Foo, L.L. and Chan, L. and Wong, K.K. and Abdullah, S. and Lim, B.K. (2017) Anesthesia in anti‐N‐methyl‐D‐aspartate receptor encephalitis – is general anesthesia a requisite? A case report = Anestesia em encefalite antirreceptor de N‐metil‐ d ‐aspartato – a anestesia geral é um requisito? Relato de caso. Brazilian Journal of Anesthesiology, 67 (6). pp. 647-650. ISSN 0034-7094

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Official URL: http://dx.doi.org/10.1016/j.bjan.2016.09.003

Abstract

Anti‐N‐methyl‐D‐aspartate receptor encephalitis is a recently described neurological disorder and an increasingly recognized cause of psychosis, movement disorders and autonomic dysfunction. We report 20‐year‐old Chinese female who presented with generalized tonic–clonic seizures, recent memory loss, visual hallucinations and abnormal behavior. Anti‐N‐methyl‐D‐aspartate receptor encephalitis was diagnosed and a computed tomography scan of abdomen reviewed a left adnexal tumor. We describe the first such case report of a patient with anti‐N‐methyl‐D‐aspartate receptor encephalitis who was given a bilateral transversus abdominis plane block as the sole anesthetic for removal of ovarian tumor. We also discuss the anesthetic issues associated with anti‐N‐methyl‐D‐aspartate receptor encephalitis. As discovery of tumor and its removal is the focus of initial treatment in this group of patients, anesthetists will encounter more such cases in the near future.

Item Type: Article
Uncontrolled Keywords: Anti‐N‐methyl‐d‐aspartate receptor encephalitis; Transversus abdominis plane block; Anti‐NMDA receptor encephalitis and anesthesia
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 13 Sep 2018 02:55
Last Modified: 13 Sep 2018 02:55
URI: http://eprints.um.edu.my/id/eprint/19213

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