First Bahraini adolescent with anti-NMDAR-Ab XXXX .

@entity1 @entity9463 @entity410 @entity230 @entity198 @entity5 @entity3391 @entity1833 @entity68682 @entity161 @entity74 @entity3316 @entity8684 @entity1651 @entity10
Anti- @entity3391 -receptor ( @entity3391 -R) @entity198 is a new autoimmune, often @entity74 that presents with complex neuropsychiatric symptoms. It was first described in 2007 by Dalmau et al. Our @entity1 presented with @entity10 , behavioral changes and then @entity410 with @entity1833 . She was initially misdiagnosed to have @entity161 and was prescribed antipsychotics. She deteriorated and developed further @entity410 with @entity3316 and @entity8684 . Her blood investigations were positive for @entity9463 IGM. Her CSF studies showed high white cell counts, predominantly lymphocytes, and high anti- @entity3391 -R titre. Her brain MRI scans showed high @entity68682 and FLAIR intensities in the grey and white matter of the left cerebellar hemisphere suggestive of acute disseminated @entity1651 . She responded to treatment with antibiotics, multiple antiepileptics, @entity230 and needed five sessions of plasmapheresis. There was no underlying @entity5 on repeated scanning of the abdomen. She needed around one year for full recovery with intensive rehabilitation. The objective of this paper was to highlight the occurrence of this fairly new, challenging, easily missed, not-so-rare form of @entity198 often occurring in the absence of fever.
