PMID- 29122234 OWN - NLM STAT- MEDLINE DCOM- 20180622 LR - 20180622 IS - 0034-7450 (Print) IS - 0034-7450 (Linking) VI - 46 IP - 4 DP - 2017 Oct-Dec TI - [Suspicion Index: Psychiatric Manifestations of NMDAR Encephalitis in Paediatric Patients]. PG - 252-256 LID - S0034-7450(16)30110-X [pii] LID - 10.1016/j.rcp.2016.10.002 [doi] AB - Immune encephalitis is a diverse group of disorders that share some unique diagnostic approaches and specific treatments. Some of the initial manifestations are non-specific and difficult to distinguish from encephalitis of other aetiologies, and even with modern diagnostic tools there are still a number of cases for which definitive causes cannot be clarified. Among these, N-methyl-D-aspartate receptor (NMDAR) encephalitis is a particular form of immune encephalitis that has some distinctive clinical manifestations, which allows the clinical evaluator to suggest a more accurate diagnosis and start treatments even in the absence of specific laboratory tests. Three paediatric patients, who were treated for NMDAR encephalitis are described in this article, as well as comparing their clinical presentation. This specific disorder and some of the more relevant features of its physiopathology are reviewed in order to explain the initial psychiatric manifestations, for which early recognition is critical for an appropriate diagnosis and treatment. CI - Copyright (c) 2016 Asociacion Colombiana de Psiquiatria. Publicado por Elsevier Espana. All rights reserved. FAU - Gomez Castro, Juan Fernando AU - Gomez Castro JF AD - Departamento Materno-Infantil, Fundacion Valle del Lili, Universidad ICESI, Cali, Colombia. Electronic address: jfgomezcastro@gmail.com. FAU - Salazar, Omar AU - Salazar O AD - Departamento de Psiquiatria, Fundacion Valle del Lili, Universidad ICESI, Cali, Colombia. FAU - Conde, Zenayda AU - Conde Z AD - Departamento de Psiquiatria, Fundacion Valle del Lili, Universidad ICESI, Cali, Colombia. LA - spa PT - Case Reports PT - Journal Article TT - Indice de sospecha: manifestaciones psiquiatricas de la encefalitis por anticuerpos anti-NMDAR en pacientes pediatricos. DEP - 20161117 PL - Colombia TA - Rev Colomb Psiquiatr JT - Revista colombiana de psiquiatria JID - 0045130 SB - IM MH - Anti-N-Methyl-D-Aspartate Receptor Encephalitis/*diagnosis/physiopathology/psychology MH - Child MH - Child, Preschool MH - Diagnosis, Differential MH - Early Diagnosis MH - Encephalitis/*diagnosis MH - Female MH - Humans MH - Male OTO - NOTNLM OT - Encefalitis OT - Encephalitis OT - Manifestaciones psiquiatricas OT - NMDAR OT - Psychiatric manifestations OT - Receptor NMDAr EDAT- 2017/11/11 06:00 MHDA- 2018/06/23 06:00 CRDT- 2017/11/11 06:00 PHST- 2016/07/02 00:00 [received] PHST- 2016/09/18 00:00 [revised] PHST- 2016/10/13 00:00 [accepted] PHST- 2017/11/11 06:00 [entrez] PHST- 2017/11/11 06:00 [pubmed] PHST- 2018/06/23 06:00 [medline] AID - S0034-7450(16)30110-X [pii] AID - 10.1016/j.rcp.2016.10.002 [doi] PST - ppublish SO - Rev Colomb Psiquiatr. 2017 Oct-Dec;46(4):252-256. doi: 10.1016/j.rcp.2016.10.002. Epub 2016 Nov 17.