Published in:
01-12-2019 | Anti-NMDA Receptor Encephalitis | Understanding the Disease
Understanding auto-immune encephalitis in the ICU
Authors:
R. Sonneville, A. Venkatesan, J. Honnorat
Published in:
Intensive Care Medicine
|
Issue 12/2019
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Excerpt
Encephalitis is a severe neurological syndrome that presents as rapidly progressive encephalopathy caused by brain inflammation, with varying combinations of fever, focal central nervous system (CNS) findings, new-onset seizures, cerebrospinal fluid (CSF) pleocytosis, and neuroimaging and electroencephalography (EEG) abnormalities [
1]. It is associated with a multitude of etiologies, including viral infections [
2], but in recent years, an increasing number of autoimmune encephalitides (AE) characterized by specific autoantibodies has been recognized [
3]. Intensivists should be aware of AE and associated complications because patients frequently necessitate ICU care, specific therapy during several weeks, and because a favorable outcome is observed in most cases. …