Keywords
anti-MNDA
convulsion
neuropsychiatric disorder
swallowing apraxia
How to Cite
Abstract
We present the case of a 5-year-old child, known healthy, who started with left focal motor seizures, sleep cycle and disorders, salivation and incapability to swallow, associated with mutism but verbal understanding, a month after a respiratory tract infection. Autoimmune encephalitis diagnosis is confirmed with the presence of anti-NMDA antibodies in cerebrospinal fluid (CSF), and immunoglobulins and steroids therapy were initiated. He showed a positive but fluctuating response, the child begins his recovery and leaves the hospital with improvement in his symptoms and general condition, although 12 months after discharge he remains with swallowing dysfunction, verbal production limited to 3 word but keeping good understanding and behavioral disorder with aggressiveness.
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