Severe tooth loss secondary to orofacial dyskinesias in anti-NMDA receptor encephalitis

Daniel Garbin Di Luca, Jason H. Margolesky

Research output: Contribution to journalArticlepeer-review

Abstract

A 24-year-old woman with no significant medical or psychiatric history was brought to the emergency department due to altered mental status and bizarre behaviour. Physical examination was remarkable for decreased speech output and orofacial dyskinesia. Upon further evaluation, electroencephalogram showed extreme delta brush waves and cerebrospinal fluid was positive for anti-NMDA receptor antibodies. Despite aggressive treatment with steroids and immunosuppressive therapy, her dyskinesia was severe enough to cause tooth loss, tongue and lip laceration.

Original languageEnglish (US)
Article numbere228380
JournalBMJ case reports
Volume12
Issue number3
DOIs
StatePublished - Mar 1 2019

Keywords

  • epilepsy and seizures
  • movement disorders (other than parkinsons)
  • neurology

ASJC Scopus subject areas

  • Medicine(all)

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