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ANTI-N-METHYL-D-ASPARTATE RECEPTOR ENCEPHALITIS (CASE REPORTS)

https://doi.org/10.22625/2072-6732-2018-10-1-121-130

Abstract

The article describes the clinical cases of anti-N-methylD-aspartate receptor encephalitis of two patients. An analysis of the dynamics of neurologic symptoms, the results of neurovisualization and neurophysiological examinations was carried out. It was shown that in patients with AntiN-methyl-D-aspartate receptor encephalitis, neurological symptoms are similar in their manifestations with symptoms of virus encephalitis. At the same time, the mechanism of development and etiology of this form of autoimmune pathology is not understood. Also, no pathognomonic changes were detected for MRI of the brain, PET, EEG for Anti-N-methylD-aspartate receptor encephalitis. The authors conclude that the diversity of neurological symptoms in patients with antiN-methyl-D-aspartate receptor encephalitis may be due not only to dysfunction of brain structures due to disruption of NMDA receptor activity, but also to a reversible disruption of functional interrelationships between different parts of the brain. 

About the Authors

E. A. Kondratyeva
Russian Science Research Neurosurgical Institute named after professor A.L. Polenov
Russian Federation


K. V. Simakov
National Medical Research Centre named after V.A. Almazov
Russian Federation


V. V. Ivanov
National Medical Research Centre named after V.A. Almazov
Russian Federation


S. A. Kondratyev
Russian Science Research Neurosurgical Institute named after professor A.L. Polenov
Russian Federation


A. V. Shestov
Russian Science Research Neurosurgical Institute named after professor A.L. Polenov
Russian Federation


D. V. Ryzhkova
National Medical Research Centre named after V.A. Almazov
Russian Federation


A. Yu. Efimtsev
National Medical Research Centre named after V.A. Almazov
Russian Federation


L. A. Leonidova
National Medical Research Centre named after V.A. Almazov
Russian Federation


V. N. Borovikova
Russian Science Research Neurosurgical Institute named after professor A.L. Polenov
Russian Federation


M. L. Chukhlovina
National Medical Research Centre named after V.A. Almazov
Russian Federation


T. M. Alekseeva
National Medical Research Centre named after V.A. Almazov
Russian Federation


A. N. Kondratyev
Russian Science Research Neurosurgical Institute named after professor A.L. Polenov
Russian Federation


A. Yu. Ulitin
Russian Science Research Neurosurgical Institute named after professor A.L. Polenov
Russian Federation


E. V. Shlyakhto
National Medical Research Centre named after V.A. Almazov
Russian Federation


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Review

For citations:


Kondratyeva E.A., Simakov K.V., Ivanov V.V., Kondratyev S.A., Shestov A.V., Ryzhkova D.V., Efimtsev A.Yu., Leonidova L.A., Borovikova V.N., Chukhlovina M.L., Alekseeva T.M., Kondratyev A.N., Ulitin A.Yu., Shlyakhto E.V. ANTI-N-METHYL-D-ASPARTATE RECEPTOR ENCEPHALITIS (CASE REPORTS). Journal Infectology. 2018;10(1):121-130. (In Russ.) https://doi.org/10.22625/2072-6732-2018-10-1-121-130

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