PMID- 21611826
OWN - NLM
STAT- MEDLINE
DCOM- 20120522
LR  - 20211020
IS  - 1432-1998 (Electronic)
IS  - 0301-0449 (Linking)
VI  - 42
IP  - 1
DP  - 2012 Jan
TI  - 'Benign' ovarian teratoma and N-methyl-D-aspartate receptor (NMDAR) encephalitis 
      in a child.
PG  - 120-3
LID - 10.1007/s00247-011-2111-6 [doi]
AB  - N-methyl-D-aspartate receptor (NMDAR) encephalitis is a life-threatening 
      paraneoplastic neuropsychiatric encephalitis that predominantly affects young 
      women and has a strong association with ovarian teratomas. Removal of the ovarian 
      teratomas improves the prognosis and decreases the risk of recurrence. We present 
      an 11-year-old girl with NMDAR encephalitis with small bilateral teratomas not 
      initially appreciated on abdominal CT or pelvic MRI. A 12-mm teratoma was 
      identified in the right ovary and a 7-mm teratoma was identified in the left 
      ovary on US follow-up at 5 months. Intraoperative sonography was used to localize 
      the teratomas for excision. In NMDAR encephalitis, the ovarian teratomas can be 
      very small, particularly in children, and easily missed on cross-sectional 
      imaging. Awareness of the association of NMDAR encephalitis and ovarian teratomas 
      will improve the diagnostic accuracy and imaging interpretation. Periodic 
      sonography and MRI might be warranted in children if the initial study is 
      negative.
FAU - Frawley, Kieran J
AU  - Frawley KJ
AD  - Department of Radiology, Cincinnati Children's Hospital Medical Center, 
      Cincinnati, OH, USA. kieran_frawley@health.qld.gov.au
FAU - Calvo-Garcia, Maria A
AU  - Calvo-Garcia MA
FAU - Krueger, Darcy A
AU  - Krueger DA
FAU - McMasters, Richard L
AU  - McMasters RL
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110525
PL  - Germany
TA  - Pediatr Radiol
JT  - Pediatric radiology
JID - 0365332
SB  - IM
MH  - Anti-N-Methyl-D-Aspartate Receptor Encephalitis/*complications/*diagnosis
MH  - Child
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Ovarian Neoplasms/complications/*diagnosis/*surgery
MH  - Teratoma/complications/*diagnosis/*surgery
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
EDAT- 2011/05/26 06:00
MHDA- 2012/05/23 06:00
CRDT- 2011/05/26 06:00
PHST- 2011/01/10 00:00 [received]
PHST- 2011/03/25 00:00 [accepted]
PHST- 2011/03/21 00:00 [revised]
PHST- 2011/05/26 06:00 [entrez]
PHST- 2011/05/26 06:00 [pubmed]
PHST- 2012/05/23 06:00 [medline]
AID - 10.1007/s00247-011-2111-6 [doi]
PST - ppublish
SO  - Pediatr Radiol. 2012 Jan;42(1):120-3. doi: 10.1007/s00247-011-2111-6. Epub 2011 
      May 25.