- Preface
- Contributors
- 1 Smoothing out the Ups and Downs
- 2 “He Wants It All the Time, Doctor”
- 3 Becoming a Little Forgetful
- 4 Beyond Tremor, Slowness, and Stiffness
- 5 Is Now the Time … ?
- 6 When Less Is More
- 7 “Are My Children at Risk, Doctor?”
- 8 “I Am Not Sure If I Should Do DaT”
- 9 Parkinson’s Disease with an Unusual Tremor
- 10 Falling All the Time
- 11 “My Arm Is Not Working”
- 12 “I See Them Sitting on My Bed, Doctor”
- 13 A New Loss of Order
- 14 Falls
- 15 Siblings with Instability
- 16 Parkinson’s Disease or Essential Tremor?
- 17 Seizures and Shakes
- 18 A Tremor with an Abnormal Posture
- 19 Advanced Treatment for Dystonia
- 20 Twists and Turns
- 21 Delayed and Often Persistent
- 22 The Stand-Alone Tremor
- 23 “She Is So Fidgety”
- 24 “I Have Never Seen Anything Like It Before”
- 25 Slow with an Altered Sensorium
- 26 “It Has to Be Functional!”
- 27 Could It Possibly Be … ?
- 28 A Rapidly Progressive Movement Disorder
- 29 Wakeful Unresponsiveness
- 30 An Iatrogenic Catatonia
- 31 Always Worth a Second Look
- Index
(p. 213) Wakeful Unresponsiveness
- Chapter:
- (p. 213) Wakeful Unresponsiveness
- Author(s):
Susan H. Fox
- DOI:
- 10.1093/med/9780190607555.003.0029
NMDA receptor encephalitis is a member of the growing group of antibody-mediated neurological syndromes that can present acutely to neurological services. In the past, these entities were undoubtedly misdiagnoses as viral encephalitis or schizophrenia. The identification of the NMDA receptor antibody and a stereotypical phenotype has greatly improved the chance of a diagnosis in these patients. Furthermore, there is good evidence for the use of early immunotherapy, which may need to be sustained and increased in resistant cases that may still achieve a full recovery. The presence of an ovarian teratoma must be excluded in young females, although young males and females may also be affected in the absence of an underlying tumor.
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- Preface
- Contributors
- 1 Smoothing out the Ups and Downs
- 2 “He Wants It All the Time, Doctor”
- 3 Becoming a Little Forgetful
- 4 Beyond Tremor, Slowness, and Stiffness
- 5 Is Now the Time … ?
- 6 When Less Is More
- 7 “Are My Children at Risk, Doctor?”
- 8 “I Am Not Sure If I Should Do DaT”
- 9 Parkinson’s Disease with an Unusual Tremor
- 10 Falling All the Time
- 11 “My Arm Is Not Working”
- 12 “I See Them Sitting on My Bed, Doctor”
- 13 A New Loss of Order
- 14 Falls
- 15 Siblings with Instability
- 16 Parkinson’s Disease or Essential Tremor?
- 17 Seizures and Shakes
- 18 A Tremor with an Abnormal Posture
- 19 Advanced Treatment for Dystonia
- 20 Twists and Turns
- 21 Delayed and Often Persistent
- 22 The Stand-Alone Tremor
- 23 “She Is So Fidgety”
- 24 “I Have Never Seen Anything Like It Before”
- 25 Slow with an Altered Sensorium
- 26 “It Has to Be Functional!”
- 27 Could It Possibly Be … ?
- 28 A Rapidly Progressive Movement Disorder
- 29 Wakeful Unresponsiveness
- 30 An Iatrogenic Catatonia
- 31 Always Worth a Second Look
- Index
