Citation

Grandbois Van Ravenhorst C, Venema PAHT, Van Sonderen A, van Vliet P. Netherlands Journal of Critical Care 2021; 29(5): 217-219.

Copyright

(Copyright © 2021)

DOI

unavailable

PMID

unavailable

Abstract

A 31-year-old woman was admitted to our intensive care department after a violent suicide attempt. There was no evidence of drug ingestion and no prior psychiatric history. Collateral history provided by her parents revealed unusual and abnormal behaviour in the preceding month. The patient tested positive for N-methyl-D-aspartate-receptor antibodies in serum and cerebrospinal fluid and was treated with immunoglobulins, steroids and rituximab. After a lengthy stay in hospital and a rehabilitation clinic, she recovered almost fully. It is essential to consider a neurological disease in the event of attempted suicide, in particular in the absence of prior medical or psychiatric history. © 2021, Netherlands Society of Intensive Care. All rights reserved.

Language: en

Keywords

adult; human; suicide; female; case report; suicidal ideation; mortality; Attempted suicide; mental disease; clinical article; headache; intensive care unit; nuclear magnetic resonance imaging; steroid; ingestion; confusion; laceration; computer assisted tomography; arthralgia; Glasgow coma scale; laparotomy; leukocyte count; midazolam; methylprednisolone; wound healing; cyanocobalamin; rehabilitation center; echography; sun exposure; thermal exposure; neurologic examination; Suicidal ideations; Article; ceftriaxone; Mini Mental State Examination; cerebrospinal fluid; abnormal behavior; hydroxychloroquine; immunoglobulin; rituximab; acetabulum fracture; ovary teratoma; body weight loss; n methyl dextro aspartic acid receptor antibody; Anti-N-methyl-D-aspartate receptor encephalitis; Multi-trauma; teratoma