J Korean Neurol Assoc.  2018 May;36(2):103-106. 10.17340/jkna.2018.2.9.

Anti-N-methyl-D-aspartate Receptor Encephalitis Caused by a Mature Mediastinal Teratoma

Affiliations
  • 1Department of Neurology, Ajou University School of Medicine, Suwon, Korea. taz312@gmail.com

Abstract

An extra-ovarian teratoma has been reported in a few cases of anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis. A 25-year-old woman presented with psychiatric symptoms. We did not find an ovarian teratoma on initial examination, and her initial simple chest X-ray was normal. We incidentally found an abnormality on follow-up simple chest X-ray and diagnosed an anterior mediastinal teratoma. Therefore, in patients with suspected anti-NMDAR encephalitis, even if simple chest X-ray is normal, chest computed tomography should be performed to investigate a hidden teratoma.

Keyword

Anti-NMDA receptor encephalitis; Teratoma; Tomography; X-ray computed

MeSH Terms

Adult
Anti-N-Methyl-D-Aspartate Receptor Encephalitis*
Encephalitis
Female
Follow-Up Studies
Humans
Teratoma*
Thorax
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