TY - JOUR
T1 - Severe tooth loss secondary to orofacial dyskinesias in anti-NMDA receptor encephalitis
AU - Di Luca, Daniel Garbin
AU - Margolesky, Jason H.
N1 - Publisher Copyright:
© 2019 BMJ Publishing Group Limited.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - A 24-year-old woman with no significant medical or psychiatric history was brought to the emergency department due to altered mental status and bizarre behaviour. Physical examination was remarkable for decreased speech output and orofacial dyskinesia. Upon further evaluation, electroencephalogram showed extreme delta brush waves and cerebrospinal fluid was positive for anti-NMDA receptor antibodies. Despite aggressive treatment with steroids and immunosuppressive therapy, her dyskinesia was severe enough to cause tooth loss, tongue and lip laceration.
AB - A 24-year-old woman with no significant medical or psychiatric history was brought to the emergency department due to altered mental status and bizarre behaviour. Physical examination was remarkable for decreased speech output and orofacial dyskinesia. Upon further evaluation, electroencephalogram showed extreme delta brush waves and cerebrospinal fluid was positive for anti-NMDA receptor antibodies. Despite aggressive treatment with steroids and immunosuppressive therapy, her dyskinesia was severe enough to cause tooth loss, tongue and lip laceration.
KW - epilepsy and seizures
KW - movement disorders (other than parkinsons)
KW - neurology
UR - http://www.scopus.com/inward/record.url?scp=85062595408&partnerID=8YFLogxK
U2 - 10.1136/bcr-2018-228380
DO - 10.1136/bcr-2018-228380
M3 - Article
C2 - 30846455
AN - SCOPUS:85062595408
SN - 1757-790X
VL - 12
JO - BMJ Case Reports
JF - BMJ Case Reports
IS - 3
M1 - e228380
ER -