NYMC Faculty Publications
Psychosis Secondary to an Incidental Teratoma: A "Heads-up" for Psychiatrists and Gynecologists
Journal Title
Archives of Women's Mental Health
First Page
703
Last Page
707
Document Type
Article
Publication Date
10-1-2017
Department
Obstetrics and Gynecology
Abstract
Anti-N-methyl-D-aspartate receptor encephalitis is a potentially fatal form of autoimmune encephalitis that originates secondary to a host immune response to neural tissue within a teratoma. We describe the case of a 17-year old girl who presented with acute onset psychosis, catatonic movements, urinary incontinence, fever, tachycardia, and fluctuating periods of hypotension and hypertension. A CT scan demonstrated an incidental 6 cm ovarian teratoma. The patient fully recovered after ovarian cystectomy, followed by medical management with intravenous immunoglobins and plasmapheresis. Anti-N-methyl-D-aspartate receptor encephalitis is an important differential diagnosis to consider for young patients presenting with acute onset psychiatric symptoms, who develop seizures, movement disorders, or autonomic instability. It is important for psychiatrist and gynecologist to be aware of this diagnosis as delay in recognition can have serious consequences including patient death.
Recommended Citation
Voice, J., Ponterio, J. M., & Lakhi, N. (2017). Psychosis Secondary to an Incidental Teratoma: A "Heads-up" for Psychiatrists and Gynecologists. Archives of Women's Mental Health, 20 (5), 703-707. https://doi.org/10.1007/s00737-017-0751-8
Publisher's Statement
Originally published in Archives of Women's Mental Health, 20 (5), 703-707. The original material can be found here.
