Abstract
Anti-N-Methyl-D-Aspartate Receptor (anti-NMDAR) has been the first specific-antibody type to be associated with Autoimmune Encephalitis [1]. Autoimmune encephalitis is associated with the neuropsychiatric symptoms including abrupt personality changes, cognitive decline, memory loss, perceptual disturbances among many others. Initial presentation might range from agitation, psychosis, and changes in speech, hallucinations, involuntary motor movements and autonomic dysfunction [2]. In general adult population are found to have higher association with paraneoplastic conditions and specific antibodies, but the pediatric age group do not show the strong association making the diagnosis a difficulty [3]. Also unlike adults association with cancer is also found to be less likely [4]. Due to these complications cases of autoimmune encephalitis are usually missed in pediatric population when focusing more on the psychiatric symptoms. Here we present a case of 14 year old boy who had a similar presentation.
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