Citation

Arroyoa J, Villate S, Bessolo E, Femopase L, Rango G, Ortiz GA. Neurologia Argentina 2015; 7(1): 47-50.

Copyright

(Copyright © 2015)

DOI

10.1016/j.neuarg.2014.10.004

PMID

unavailable

Abstract

INTRODUCTION: Limbic encephalitis may present with psychiatric symptoms, often reversible with treatment. Case report: A previously healthy teenager started with aggresiveness, disinhibition, hypersexuality, cognitive impairment and suicide attempts, for which she was treated with neuroleptics and benzodiazepines. Two months later, a cerebral magnetic resonance imaging showed changes in both temporal lobes, suggestive of limbic encephalitis. Biochemical and radiologic studies ruled out neoplastic, inflammatory or infectious causes. She was treated with intravenous immunoglobulin, high doses of intravenous steroids and cyclophosphamide, with notorious symptomatic and radiological improvement.

CONCLUSION: Considering and treating patients with possible limbic encephalitis can radically change the prognosis, particularly in patients with psychiatric manifestations. © 2014 Sociedad Neurológica Argentina. Published by Elsevier España, S.L.U. All rights reserved.

Language: es

Keywords

Affective psychotic disorder; Limbic encephalitis; Paraneoplastic syndrome