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Psychiatric symptoms delay the diagnosis of anti-LGI1 encephalitis

Authors
Jang, YoonhyukLee, Soon-TaeLim, Jung-AhKim, Tae-JoonJun, Jin-SunMoon, JangsupSunwoo, Jun-SangJung, Keun-HwaPark, Kyung-IlJung, Ki-YoungKim, ManhoLee, Sang KunChu, Kon
Issue Date
15-Apr-2018
Publisher
Elsevier BV
Keywords
Psychiatric symptom; Senile depression; Dementia; Epilepsy-related psychosis; Prognostic factor; Anti-LGI1 encephalitis
Citation
Journal of Neuroimmunology, v.317, pp 8 - 14
Pages
7
Journal Title
Journal of Neuroimmunology
Volume
317
Start Page
8
End Page
14
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/6041
DOI
10.1016/j.jneuroim.2018.02.005
ISSN
0165-5728
1872-8421
Abstract
The aim of this study was to analyze the detailed characteristics of the psychiatric symptoms in patients with anti-LGI1 encephalitis. Of 16 patients, ten showed psychiatric symptoms as the initial manifestations. All 10 patients experienced mood-related symptoms. The time to immune therapy was longer in those with initial psychiatric symptoms compared to those without them. Initial manifestation of psychiatric symptoms in patients with anti-LGI1 encephalitis may be a poor prognostic factor, at least in the short term, in that it misleads both the patients and the clinicians to neglect the typically accompanied symptoms of the disease such as faciobrachial dystonic seizure, delaying the timing of immune therapy.
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