Encephalitis is an inflammation of the brain. Although some people recover from encephalitis with no consequences, in some people nerve cells in the brain may be damaged or destroyed by the inflammation. The resulting damage is termed an acquired brain injury (ABI). No two people with encephalitis have an identical outcome Encephalitis in Children - A Guide is a comprehensive information resource aiming to improve the quality of life of children affected by encephalitis and their families. It follows the child and their family's journey from the hospital ward, to the rehabilitation setting, school and home, hoping to direct them through the maze of health care, education and social services Recovery from encephalitis may take time. Initial recovery may be rapid but usually falls short of complete. Further recovery takes place more slowly over a period of months, even years
In most cases, people with very mild encephalitis or meningitis can make a full recovery, although the process may be slow. Individuals who experience only headache, fever, and stiff neck may recover in 2-4 weeks The speed of recovery, degree of residual deficit, and frequency of relapse vary according to the type of autoimmune encephalitis. In a series of 577 patients with anti-NMDAR encephalitis, the most common type of AE, 53% had clinical improvement within 4 weeks, and 81% had substantial recovery (i.e., mild or no residual symptoms) at 24 months Autoimmune encephalitis is a rare condition that occurs when the body's immune system mistakenly attacks the brain. One in 100,000 people will be diagnosed annually; about 40 percent of those are under 18. It causes inflammation and a range of complications. Two years of treatment, recovery and rehabilitation followe
Up to 75% of cases have a complete recovery. However the time scale for recovery varies in individual cases. The nervous system is often slow to repair itself, and it may take weeks, or sometimes months, to make a recovery. Children may be in hospital for a few weeks or months for rehabilitation Mild cases of encephalitis are usually short and result in a full recovery. However, despite improvements in diagnosis and treatment, encephalitis still leads to death in about 10% of patients Treatment may include medicine, oxygen, and rest. It may take months to recover from viral encephalitis. Some types of viral encephalitis may be prevented by vaccinations (shots) or by avoiding contact with mosquitos and ticks. With treatment, such as medicine and rest, you may fully recover after having viral encephalitis The acute phase of encephalitis in infants when the symptoms are most severe generally lasts for a week. Full recovery from encephalitis can take many weeks and months and sometimes close to a year depending on the severity of the case. Encephalitis can be fatal if not brought to medical attention in due time Encephalitis (en-sef-uh-LIE-tis) is inflammation of the brain. There are several causes, but the most common is a viral infection. Encephalitis often causes only mild flu-like signs and symptoms — such as a fever or headache — or no symptoms at all. Sometimes the flu-like symptoms are more severe. Encephalitis can also cause confused.
recovery. Recovery is usually slow and may take upto 2 years. The last symptoms to improve are social interactions, language and executive functions. Relapses occur in 24% of cases . The differential diagnosis include viral encephalitis, neuroleptic malignant syndrome, acute psychosis and drug abuse The Encephalitis in children. A guide follows the child and their family's journey from hospital ward to rehabilitation settings, school and home, hoping to direct them through the maze of health care, education and social care Although the disorder is described as steroid-responsive, a review of 25 pediatric patients (85.8% girls) with a median age of 14 years showed that only 55% had complete recovery.51In some instances, plasma exchange or intravenous immunoglobulin have been effective.52,5
Many people with encephalitis make a full recovery. In some cases, brain swelling can cause lasting problem like learning disabilities, speech problems, memory loss, or lack of muscle control. Speech therapy, physical therapy, or occupational therapy can help in these cases. How Long Does Encephalitis Last In Encephalitis, a person's some, not necessarily all; cognitive skills get damaged permanently or at least for long term. These damages are memory, ability to recall, speed of thinking, understanding and responding to a situation, ability of solving problems and also ability to concentrate as well as the understanding of how to use language. Viral encephalitis is a severe illness that produces inflammation of the brain. CNS viral infections frequently occur as a complication of systemic viral infections. Over 100 viruses are implicated as causative agents, including herpes simplex virus type I which is the most common agent implied in n
Neurologic presentations in children with COVID-19 infection are rare. Reports of pediatric multi-inflammatory syndrome have dominated the literature, although cases of pure neurologic manifestations have been described.1-3 Akinetic mutism has previously been reported in steroid-responsive COVID-19-related encephalitis.4 We present the case of a 16-year-old girl who presented with visual. Encephalopathy happens when a change in your body or your brain affects how well you think. Learn the causes, symptoms, treatments and more The management of patients with encephalitis has changed dramatically in recent years for several reasons including improved diagnostic and brain imaging techniques, better antiviral and immunomodulatory treatments and more advanced neurointensive care and rehabilitation Our Center is dedicated to helping patients with autoimmune and paraneoplastic disorders affecting the nervous system, including anti-NMDA receptor encephalitis. These disorders often cause encephalitis (inflammation of the brain) and can affect memory, behavior, and other brain functions. In the past, most cases of encephalitis could not be explained, and treatment was inconsistent and given. The incidence of HHV-6 encephalitis is reportedly 0-11.6% after bone marrow or peripheral blood stem cell transplantation and 4.9-21.4% after cord blood transplantation ().HHV-6 reactivation is associated with cognitive decline in stem cell transplant patients, especially in processing speed and executive function (Zerr 2005, 2011).HHV-6 encephalitis should be suspected in patients who present.
Anti-NMDA receptor encephalitis is the most common form of autoimmune encephalitis in children. It is caused by the presence of antibodies in a specific part of the nerve cells in the brain, called NMDA receptors. In children, this form of encephalitis can be associated with a tumor called an ovarian teratoma, but it is very rare NMDA recovery questions - Encephalitis 411. DRL5. of God my child is alive and doing everything on her own and I know he will do the same for you.Kia still have a long way to go she is left with short term memory lost and seizures .As long as she takes her anti seizure meds on time she is fine, she is six months in recovery.she is on three. Encephalitis survival story: How sharing allowed one patient to help others. When Stanford Medicine and Inspire combined efforts in February 2012 to launch this blog series, I was honored to be their first contributor. Documenting my story of encephalitis (swelling of the brain) was an opportunity to raise awareness about this often. The sooner you receive care, the better your chances of recovery. For mild encephalitis symptoms, your first step may be going to an urgent care center. For severe issues, like seizures and loss of consciousness, the best place to go for care is an emergency room
Discussion. We report a case of a previously healthy child who met the criteria for MIS-C and developed reversible encephalopathy with moderate EEG slowing and bilateral thalamic lesions, which improved with continued treatment of his inflammatory syndrome Autoimmune encephalitis is a disease in which the immune system mistakenly attacks the brain. who pled guilty to charges of child abuse, had three children with her ex-husband. Recovery. Autoimmune encephalitis refers to a group of conditions that occur when the body's immune system mistakenly attacks healthy brain cells, leading to inflammation of the brain.People with autoimmune encephalitis may have various neurologic and/or psychiatric symptoms. Neurologic symptoms may include impaired memory and cognition, abnormal movements, seizures, and/or problems with balance, speech. Rasmussen's Encephalitis. R amussen's encephalitis, also known as Rasmussen's syndrome, is an extremely rare, progressive disease. It causes drug resistant seizures, cognitive impairment, and eventual paralysis of half the body within a year or two of the first seizure. Sometimes, Ramussen's encephalitis can also include cortical dysplasia Encephalitis should be suspected in any child with fever, seizures and decrease in consciousness or irritability. Although this constellation of symptoms is a fairly common presentation in paediatrics, the most serious cause is HSV encephalitis, which untreated has a mortality rate of 70%
In patients with encephalitis caused by flaviviruses and Eastern equine encephalitis virus, MRI may display a characteristic pattern of mixed intensity or hypodense lesions on T1-weighted images in the thalamus, basal ganglia, and midbrain; these lesions are hyperintense on T2 and fluid-attenuated inversion recovery (FLAIR) images This helps prevent the spread of viruses that can lead to encephalitis. Wash your hands several times each day. Wash after you use the bathroom, change a child's diaper, and before you prepare or eat food. Use soap and water every time. Rub your soapy hands together, lacing your fingers Encephalitis is a serious condition and, although some people will make a good recovery, it can cause persistent problems and can be fatal. For example, encephalitis due to the herpes simplex virus (the most common type of encephalitis) is fatal in 1 in 5 cases even if treated, and causes persistent problems in around half the people who have it
Tubbs RS, Nimjee SM, Oakes WJ. Long-term follow-up in children with functional hemispherectomy for Rasmussen's encephalitis.Childs Nerv Syst. 2005;21:461-65. Hart Y. Rasmussen's encephalitis. Epileptic Disord. 2004;6:133-44. INTERNET. NINDS Rasmussen's Encephalitis Information Page. National Institute of Neurological Disorders and Strokes Children and adolescents presenting with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, one of the most common types of autoimmune encephalitis, often have significant cognitive problems, fatigue, and neuropsychological sequelae that persist well after apparent recovery and affect academic performance and quality of life. Tick-borne encephalitis, or TBE, is a human viral infectious disease involving the central nervous system. TBE is caused by the tick-borne encephalitis virus (TBEV), a member of the family Flaviviridae, and was initially isolated in 1937.Three virus sub-types are described: European or Western tick-borne encephalitis virus, Siberian tick-borne encephalitis virus, and Far eastern Tick-borne. My son had encephalitis at 2 years old. The recovery is long. We are still getting OT and speech. All of the doctors say it is better to get this young because the brain can recover easier
The early stages of autoimmune encephalitis (AE) vary from person to person. Some people rapidly develop new or changing symptoms. For example, a person with AE may start experiencing hallucinations and then develop seizures or problems with their memory Autoimmune Encephalitis is a fatal disease where the body's own immune system starts mistakenly attacking the brain, which leads to many problems including inflammation in the brain and impaired function. Know the causes, symptoms, diagnosis, treatment and recovery period of autoimmune encephalitis Introduction Infectious encephalitis is an inflammatory disease of the brain membrane and parenchyma due to infectious agents (ie, virus, bacteria, fungi and parasites).1 These infectious agents may influence the central nervous system function and can cause significant chronic neurological deficits, including speech or hearing deficits, seizures, altered mental status and, in more severe. Herpes simplex encephalitis usually occurs during early childhood or adulthood. It affects males and females in equal numbers. The disorder is the most common form of acute encephalitis in the United States with approximately 2,000 cases occurring per year. It accounts for 10 percent of all cases of encephalitis in the United States per year California Encephalitis Group. California encephalitis virus, headache, myalgia, arthralgia and photophobia being most common. The illness lasts 1-2 weeks and patients make a full recovery. Virus can be detected in blood in the first few days, but diagnosis is usually by serology. The child with LE can have an elevated sedimentation.
The role of therapy in encephalitis caused by M pneumoniae and cat scratch disease is unproved. ADEM commonly responds to steroid therapy, as may vasculitis. In the child who fails to improve after several days of illness, the use of empiric steroids should be discussed with neurology colleagues Paraneoplastic limbic encephalitis in two teenage girls. Neuropediatrics, 29, 159-162. CAS Article Google Scholar 51. Alavi, S. (2013). Paraneoplastic neurologic syndromes in children: a review article. Iranian Journal of Child Neurology, 7, 6-14. PubMed PubMed Central Google Scholar 52 Herpesviral encephalitis, or herpes simplex encephalitis (HSE), is encephalitis due to herpes simplex virus.It is estimated to affect at least 1 in 500,000 individuals per year, and some studies suggest an incidence rate of 5.9 cases per 100,000 live births. About 90% of cases of herpes encephalitis are caused by herpes simplex virus-1 (HSV-1), the same virus that causes cold sores. 57% of. There are a few signs of encephalitis that are unique to infants and children. One of the symptoms can be bulging in the soft spots, or fontanelles, of the baby's head. Other symptoms can include lethargy or increased irritability. Parents should be alert to changes in behavior. Treatment of an infant or child is focused on reducing any. . The spinal cord may also be involved, resulting in a disorder called encephalomyelitis. People may have a fever, headache, or seizures, and they may feel sleepy, numb, or confused
He participated in the school play and played piano in the fine arts show and at the graduation ceremony. These are both HUGE accomplishments!! Three years ago, when Jake started at Cornerstone, he had severe anxiety and he could barely speak or write a sentence. Now keep in mind, this child was a 'typical' child until 2012 Encephalitis symptoms may last several weeks. Most cases of encephalitis are mild, and recovery is usually quick. Mild encephalitis usually leaves no residual neurological problems. Overall, approximately 10% of those with encephalitis die from their infections or complications such as secondary infection The encephalitis is one of autoimmune neurological diseases. The immune system of a patient produces pathogenic autoantibodies that bind to NMDA receptors in their brain and cause the disease. Early intervention is expected to prevent residual complications and to promote early recovery to their own lives West-Nile virus encephalitis in an immunocompetent pediatric patient: successful recovery Salvatore Savasta1, Francesca Rovida2, Thomas Foiadelli1,3*, Anna Maria Campana1, Elena Percivalle2, Gian Luigi Marseglia1,3 and Fausto Baldanti2,3 Abstract Background: West Nile virus (WNV) is a mosquito-borne RNA virus belonging to the Flaviviridae family Encephalitis can affect different people in different ways. Some people recover from encephalitis and have few, or no, long-term problems. However, in many people, encephalitis is a serious condition and can be life-threatening. Also, after encephalitis, it is common for people to be left with some permanent brain damage
Vaccine-Associated Herpes Zoster Opthalmicus and Encephalitis in an Immunocompetent Child Giorgos Chouliaras , Vana Spoulou , Mark Quinlivan , Judith Breuer , Maria Theodoridou Pediatrics Apr 2010, 125 (4) e969-e972; DOI: 10.1542/peds.2009-263 Encephalitis is defined as inflammation of the brain. This definition means encephalitis is different from meningitis, which is defined as inflammation of the layers of tissue, or membranes, covering the brain.; Unfortunately, in some people, both of the diseases may coexist and lead to a more complex diagnosis and treatment plan; in addition, both conditions share many of the same symptoms so. Background . Autoimmune encephalitis (AE) is a rapidly progressive encephalopathy caused by antibodies targeting neurons in the central nervous system generating specific immune responses. It is increasingly recognized in children. Objective . To describe clinical, neuroimaging, and laboratory features, treatment, and outcome in a cohort of Tunisian children with AE. <i>Methods.</i> We. with anti-NMDA receptor antibody encephalitis who recovered after steroids, plasma exchange, and cyclophosphamide, (2) high signal on fluid-atte nuated inversion recovery (FLAIR) imaging in a child presenting with hemichorea and a raised antistreptolysin O titre who recovered after 2 weeks of penicil lin an Eastpointe 9-year-old has inspirational recovery after contracting encephalitis An Eastpointe family has so much to be thankful for after an unforeseen health condition that caused their 9-year.
This report presents the clinical and electroencephalographic findings in a child during the course of recovery from an attack of encephalitis. The illness developed during the period in August and September 1938 in which an epidemic of equine encephalitis appeared among horses and human beings in southeastern Massachusetts and Rhode Island Autoimmune brain diseases, including autoimmune encephalitis and central nervous system (CNS) vasculitis, can cause rapid changes in your child's physical and mental health. Because the symptoms can be so varied, diagnosis can be challenging and is often delayed Treatment. Treatment for mild encephalitis usually consists of: Bed rest. Plenty of fluids. Anti-inflammatory drugs — such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) — to relieve headaches and fevers She was diagnosed with viral encephalitis. Due to the brain swelling, JeAnnah quickly began to slip away. There was nothing the doctors could do, and they offered us no hope for recovery. By the time she was admitted, she no longer functioned as the child we knew and loved
healthy child with varicella disease. Varicella vaccine was Recovery from primary varicella infection usually results in lifetime immunity. In otherwise healthy persons, a second Encephalitis is an infrequent complication of varicella (1 per 50,000 cases of varicella in unvaccinated children) and ma Recovering from meningitis and septicaemia, especially leaving hospital after meningitis can be a worrying time and it is understandable that you might feel anxious about returning home. We have many resources to help you understand potential after-effects of meningitis and our support is life-long Encephalitis Survivors: Lonely Battles to Reclaim Lives. Survivors of brain disease battle to get their lives back. Film brings awareness to illness affecting an estimated 20,000 Americans a year. Recovery is a very complicated, one-step-forward, two-steps-back process, said Cahalan, who could not read, write or walk when she was released from the hospital in 2009. Song helps autistic boy.
encephalitis (irritation and swelling of the brain) Children with measles should be kept away from others for 4 days after their rash appears. For those with a weak immune system, this should continue until they make a full recovery and all symptoms are gone Unrecognised HSV encephalitis is a devastating illness with significant morbidity and mortality, however treatment with aciclovir can lead to a full recovery Vaccines have significantly reduced the incidence of bacterial meningitis ( Haemophilus influenzae type B (HiB) vaccine, Pneumococcal Conjugate Vaccine, Meningococcal ACWY
The treatment of anti-NMDA receptor encephalitis consists of immunotherapy and, if relevant, tumour removal.2 Despite therapy, more than 75% of patients treated for anti-NMDA encephalitis experience significant cognitive sequelae of varying severity during recovery, predominantly of the domains of memory, attention and executive functions, and. The commonest cause of autoimmune encephalitis in children and young people is N-methyl-d-aspartate receptor (NMDAR) antibody encephalitis (NMDARE), in which antibodies against the GluN1 subunit of NMDAR cause a severe and progressive neuropsychiatric syndrome characterised in the later stages by encephalopathy, seizures and movement disorder.
While this uncertainty continues the immunisation of the whole child population is necessary for effective prevention. Acute encephalopathies of viral (or unknown) origin occur most commonly in the first decade of life, with a peak incidence of 1 in 500-1000 infants in their first six months. 1 2 In practice the diagnosis of encephalitis is. The encephalitis it causes is virtually always fatal but although it is more common in Eastern Europe, it is very rare in the U.S. Only 1 or 2 cases are typically reported each year, usually from contact with raccoons, bats, or other wild animals. Encephalitis Associated with Childhood Disease While encephalitis may be caused by a virus, bacteria or autoimmune disease, a precise cause remains unknown in 50 percent of cases. Symptoms range from fever, headache and confusion in some, to.
Objectives Our aim was to compare neuropsychological and psychiatric outcomes across three encephalitis aetiological groups: Herpes simplex virus (HSV), other infections or autoimmune causes (Other), and encephalitis of unknown cause (Unknown). Methods Patients recruited from NHS hospitals underwent neuropsychological and psychiatric assessment in the short-term (4 months post-discharge. A three-week-old baby is currently in serious condition at the Bnei Zion Medical Center in Haifa due to a herpetic infection, which began in the genital area and has spread to the brain, leading to convulsions and seizures: Laboratory tests found that the infant likely contracted the Type 1 herpes virus during his brit, directly from the mohel, who performed the ceremony using the.
Child's Nerv Syst 1998;14:15-20. Lancaster, Eric. The diagnosis and treatment of autoimmune encephalitis. Journal of Clinical Neurology 2016;12:1-13. Hoffman HJ, Becker LE, Zielenska M. Intractable seizure disorder associated with chronic herpes infection. Child's Nerv Syst.1998;14:15-20. Jang H, Boltz DA, Webster RG, Smeyne RJ Lancaster E, Martinez Hernandez E, Dalmau J (2011) Encephalitis and antibodies to synaptic and neuronal cell surface proteins. Neurology 11(2): 179-189. Armangue T, Petit Pedrol M, Dalmau J (2012) Autoimmune encephalitis in children. J Child Neurol 27(11): 1460-1469 Pneumonia associated with measles, which can occur in as many as 1 out of every 20 young children who acquire the infection, is the most common culprit in fatal cases. But inflammation of the brain, called encephalitis, can kill during the initial illness or leave a child with permanent cognitive impairment or hearing loss
In this report, we describe a case of West-Nile virus encephalitis in a 12-years old immunocompetent child in the Lombardy Region, Northern Italy, a WNV endemic area since 2013 . Case presentation In mid September 2014, a 12-year-old boy presented at the Pediatric Emergency Department of the Fondazione IRCCS Policlinico San Matteo, Pavia, due. This case series demonstrates a novel clinical phenotype of gait disturbance as an initial symptom in children <3 years old with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. Anti-NMDAR encephalitis is one of the most common causes of encephalitis in children, more common than any of the viral encephalitides and the second most common autoimmune cause after acute disseminated. The differences in IgG subclass and complement activation have several clinical implications. Patients with anti-LGI1 encephalitis or anti-Caspr2 encephalitis generally show a less severe clinical manifestation and faster recovery than patients with anti-NMDAR encephalitis, which may reflect the limited ability of IgG4
The Encephalitis Society estimates, that every year it affects around 500,000 people worldwide - with about 6,000 of those cases coming from the UK. image copyright Georgia Le Scandinavian Journal of Child and Adolescent Psychiatry and Psychology Vol. 5(3):111-115 (2017) DOI 10.21307/sjcapp-2017-012 Case Report Open Access Adolescent with acute psychosis due to anti-N-methyl-D-aspartate receptor encephalitis: successful recovery Dovile Jonuskaite1,2,*, Paulius Kalibatas1,2, Ruta Praninskiene1,2, Asta Zalubiene3
Anti-NMDAR encephalitis tends to have a better outcome in comparison with other autoimmune medicated encephalitis with a full or substantial recovery rate of 80-90 per cent after 24 months [14, 16] Herpes simplex encephalitis (HSE) is the most common single cause of viral encephalitis in infants and children. Treated or untreated, it can be associated with considerable morbidity and mortality, and its presentation is usually insidious and non-specific. Prompt and careful investigation is important in order to establish the diagnosis so that treatment can be optimised Anti- N-methyl-D-aspartate (NMDA) receptor encephalitis is a fascinating disorder that was first described in 2007. Initially thought to be exclusively a paraneoplastic disorder occurring in young females with an ovarian teratoma, it is now recognised that this syndrome can occur in children and adults with or without a tumour
HMPV RNA was detected in NPA and CSF in 1 child with encephalitis . In other cases with NPA positive for HMPV, HMPV PCR has yielded negative results in CSF ( 3 - 5 ). In the case reported here, the negative test results for other infectious agents and positive NPA by HMPV PCR conclude that HMPV is the most likely causative agent for encephalitis Movement disorders have been described in the context of different types of encephalitis. Among hyperkinetic manifestations, tics have sporadically been reported in cases of encephalitis resulting from a range of aetiologies. This review aimed to assess the prevalence and characteristics of tics in patients with encephalitis. We conducted a systematic literature review of original studies on. Encephalitis is usually associated with serologic evidence of EBV and has a favorable prognosis, with most patients having a complete recovery within a few weeks .The case of a child in whom an erroneous diagnosis of brainstem tumor was initially made and an EBV encephalitis was subsequently proved by means of serologic documentation of an. Spontaneous recovery of memory functions in an untreated case of anti NMDAR encephalitis - a reason to maintain hope 20 October 2016 | The Clinical Neuropsychologist, Vol. 31, No. 1 psychopraxis. neuropraxis, Vol. 20, No. Europe PMC is an archive of life sciences journal literature. This report is aimed to describe a life-threatening case of anti-N-methyl-d-aspartate receptor (NMDAR) encephalitis secondary to ovarian teratoma with rapid recovery in 1 day after the removal of the tumour.A 23-year-old woman presented with sudden headache, personality changes and seizure
We present a 2-year-old patient who showed progressive widespread white-matter abnormalities on magnetic resonance imaging 1 month after viral encephalitis, despite her good clinical recovery. These lesions on magnetic resonance imaging had not responded to therapies commonly used to treat secondary immune-mediated demyelinating lesions, as observed in acute disseminated encephalomyelitis La Crosse virus is the most pathogenic member of the California encephalitis serogroup. It was first isolated from the brain of a four-year-old child who had died of rural encephalitis in La. Over the last years the clinical picture of autoimmune encephalitis has gained importance in neurology. The broad field of symptoms and syndromes poses a great challenge in diagnosis for clinicians. Early diagnosis and the initiation of the appropriate treatment is the most relevant step in the management of the patients. Over the last years advances in neuroimmunology have elucidated.
Toxoplasmosis Definition Toxoplasmosis is an infectious disease caused by the one-celled protozoan parasite Toxoplasma gondii. Although most individuals do not experience any symptoms, the disease can be very serious, and even fatal, in individuals with weakened immune systems. Description Toxoplasmosis is caused by a one-celled protozoan parasite known. . Tsai, Laura Eilers, and N. Ghaziuddin Department of Child and Adolescent Psychiatry, University of Michigan Hospital, Ann Arbor INTRODUCTION It is now generally accepted that autism is a behavioral syndrome with an underlying organic pathology
Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is a severe but potentially reversible neurologic disorder that is clinically recognizable in children and adolescents. Prompt diagnosis and treatment are essential to facilitate recovery. Treatment consists of corticosteroids, intravenous immunoglobulin, or plasma exchange as first-line. . The severity of these sequelae varies according to the causative virus Anti-NMDA-Receptor encephalitis is a severe form of encephalitis that was recently identified in the context of acute neuropsychiatric presentation. Here, we describe the case of a 17-year-old girl referred for an acute mania with psychotic features and a clinical picture deteriorated to a catatonic state. Positive diagnosis of anti-NMDA-receptor encephalitis suggested specific treatment This means making sure people with encephalitis get proper fluids, providing machines to help with breathing, if needed, and caring for comatose patients to prevent bedsores or other infections. After recovery from encephalitis, some people will have lasting problems with memory, speech, or muscle control