Table 2.
Treatment and outcome of patients with anti-NMDA receptor encephalitis
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Initial therapy | |||
IVIG | Yes | Yes | Yes |
IV methyl- | Yes | Yes | No |
prednisolone pulse | |||
Oral prednisone | Yes | No | No |
IV Rituximab | Yes | No | No |
Duration of therapy | 7 months | 7 months | 3 months |
Course | |||
Relapse | No | yes | yes |
Time to relapse | - | 13 months | 3 months |
Re-treatment | - | IVIG×6 months | Rituximab |
plus IVIG×6 months | |||
Outcomes | |||
Time at last follow-up | 12 months | 14 months | 4 months |
Neurological deficits | None | Seizures | Seizures |
at last follow-up | Speech difficulties | ||
Memory impairment |
IV = intravenous, IVIG = intravenous immunoglobulin