Table 1.
Initial herpetic meningo-encephalitis symptoms | Delay between herpes and AIE | Anti-NMDAr AIE onset | First line immunotherapy (IVIG + corticosteroids) | Second line immunotherapy (rituximab) | |
---|---|---|---|---|---|
Case N°1 | Akinetic mutism, partial motor epilepsy |
12 months | Paranoid delirium, Capgras syndrome, anterograde amnesia | Poor response | Significant improvement |
Case N°2 | Superrefractory right temporal status epilepticus | 7 months | Paranoid delirium, Cotard syndrome, anterograde amnesia | No response | Significant improvement (back to previous state) |