Anti- @entity1024 receptor (NMDAR) antibody @entity198 is a recently identified @entity792 that is increasingly recognized in @entity1 . Most cases occur in @entity1 and @entity1 and may be paraneoplastic with an associated @entity43 . Characteristic clinical features include @entity146 , @entity910 , @entity909 , and autonomic instability. We report the first case of @entity1167 associated with @entity410 in this disorder and highlight the need for careful monitoring for this potentially fatal complication. A 15-year-old previously healthy @entity1 presented with focal @entity410 and personality changes that progressed to periods of @entity2146 and @entity911 alternating with @entity2436 . Anti-NMDAR antibodies were detected in the cerebrospinal fluid and serum. Twenty-six days after initial presentation, new @entity410 developed characterized by @entity1168 and @entity26 desaturation. Continuous video-electroencephalogram monitoring captured 3 @entity410 with left-temporal onset and associated @entity1167 . An @entity43 was diagnosed by pelvic ultrasound and computed tomography, and surgical resection was followed by gradual improvement in her @entity146 . Treatment with @entity109 beginning on day 26 lead to the cessation of @entity410 . However, asymptomatic @entity1168 and pauses of 3 seconds continued. After insertion of a demand pacemaker on day 46, there were no further @entity299 . The @entity1 was also treated with 2 courses of intravenous immunoglobulin. Outpatient follow-up at 4 months revealed near-complete neurologic recovery and no @entity299 . To our knowledge, ictal @entity1167 has not previously been described as a complication of anti-NMDAR @entity198 ; it is a preventable cause of @entity204 in this emerging @entity74 , which presents with protean symptoms and is easily misdiagnosed.

Ictal @entity1167 and anti- @entity1024 receptor antibody XXXX .

@entity1 :: ('9606', 'Species') :: ['patient', 'girls', 'women', 'children', 'girl'] @entity43 :: ('MESH:D010051', 'Disease') :: ['ovarian teratoma'] @entity410 :: ('MESH:D012640', 'Disease') :: ['temporal lobe seizures', 'seizures'] @entity1024 :: ('CHEBI:31882', 'Chemical') :: ['N-methyl-D-aspartate'] @entity198 :: ('MESH:D004660', 'Disease') :: ['encephalitis'] @entity146 :: ('MESH:D001523', 'Disease') :: ['neuropsychiatric symptoms'] @entity1168 :: ('MESH:D001919', 'Disease') :: ['bradycardia'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity910 :: ('MESH:D004409', 'Disease') :: ['dyskinesias'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac events'] @entity909 :: ('MESH:D014474', 'Disease') :: ['decreased consciousness'] @entity2146 :: ('MESH:D011595', 'Disease') :: ['agitation'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity109 :: ('MESH:D010634', 'Chemical') :: ['phenobarbital'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['asystole'] @entity74 :: ('MESH:D030342', 'Disease') :: ['pediatric disorder'] @entity2436 :: ('MESH:D002389', 'Disease') :: ['catatonia'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity792 :: ('MESH:D001327', 'Disease') :: ['autoimmune disorder']
@entity198 :: (MESH:D004660,Disease) :: ['encephalitis']
