Acute limbic encephalitis: diagnostic and management implications

The Australian and New Zealand Journal of Psychiatry
Tracey Lucas-RamadanRaj Velamoor

Abstract

A link between cancer and limbic encephalitis (LE) has been proposed. The aim of this case presentation is to further explore this association by literature review, inform clinicians of the investigations necessary to arrive at a diagnosis and to emphasize the clinical importance of liaison between psychiatry and other disciplines involved in management. The case report of a 55 year old Niuean male school teacher with an acute onset of confusion and personality change is presented. The clinical data was obtained from various sources including the emergency room, medical ward, psychiatric ward as well as from discussions with other physicians involved in the management of this case. Family members and friends were also contacted to obtain corroborative historical information. LE was diagnosed in this case based on clinical presentation with psychiatric symptoms, ruling out delirium due to infections, metabolic and other toxins as well as magnetic resonance imaging findings confirming temporal lobe changes. LE is a known paraneoplastic syndrome (PNS) that may precede the diagnosis of an underlying malignancy. Recent advances in laboratory technology now allow for antibodies to be identified in specific malignancies. This behooves...Continue Reading

References

Sep 1, 1968·Brain : a Journal of Neurology·J A CorsellisA R Norton
Jan 1, 2005·Current Opinion in Oncology·Jérôme Honnorat, Stéphanie Cartalat-Carel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Cancer Metabolism

In order for cancer cells to maintain rapid, uncontrolled cell proliferation, they must acquire a source of energy. Cancer cells acquire metabolic energy from their surrounding environment and utilize the host cell nutrients to do so. Here is the latest research on cancer metabolism.

Related Papers

The Australian and New Zealand Journal of Psychiatry
R Mayou
The British Journal of Psychiatry : the Journal of Mental Science
N RamsayB Gazzard
Journal of Psychosomatic Research
Antonio LoboCarlos Marco
© 2021 Meta ULC. All rights reserved