Aggressive Agitation Management Affecting Acute Rehabilitation Course in NMDA Receptor Encephalitis: A Case Report and Suggestion for Management-Aggressive Agitation Management Affecting Acute Rehabilitation Course in NMDA Receptor Encephalitis: A Case Report and Suggestion for Management

Aggressive Agitation Management Affecting Acute Rehabilitation Course in NMDA Receptor Encephalitis: A Case Report and Suggestion for Management

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Video Summary

This case report discusses the rare occurrence of chronic NMDA receptor encephalitis leading to relapses of psychosis, which manifested as disinhibition and aggression in an 18-year-old male. Initially misdiagnosed as sympathetic storming, it was later determined that the patient was experiencing psychosis related to the encephalitis. Treatment involved adjusting medications and starting Seroquel, resulting in improvements in the patient's behavior and cooperation. With continued follow-ups and medication adjustments, the patient showed significant improvement and was able to return to sports, help his family, and consider pursuing higher education. Early recognition and aggressive treatment of psychosis in chronic NMDA receptor encephalitis can lead to positive outcomes and a return to baseline function.

Keywords

chronic NMDA receptor encephalitis

relapses of psychosis

disinhibition and aggression

Seroquel

positive outcomes