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- W2778336784 abstract "In 1997, two prescient case reports described an encephalopathy associated with ovarian teratoma presenting with a psychiatric illness that responded to tumour resection. 1 Okamura H Oomori N Uchitumi Y An acutely confused 15-year-old girl. Lancet. 1997; 350: 488 Summary Full Text Full Text PDF PubMed Scopus (48) Google Scholar , 2 Nokura K Yamamoto H Okawara Y Koga H Osawa H Sakai K Reversible limbic encephalitis caused by ovarian teratoma. Acta Neurol Scand. 1997; 95: 367-373 Crossref PubMed Scopus (92) Google Scholar 10 years later, Dalmau and colleagues 3 Dalmau J Tüzün E Wu HY et al. Paraneoplastic anti-N-methyl-D-aspartate receptor encephalitis associated with ovarian teratoma. Ann Neurol. 2007; 61: 25-36 Crossref PubMed Scopus (1863) Google Scholar first reported an association between this syndrome and antibodies against the NMDA receptor. NMDAR-antibody encephalitis is notable for a clinical-radiological paradox of often normal structural MRI but severe and disabling illness. In 2017, Peer and colleagues 4 Peer M Prüss H Ben-Dayan I Friedemann P Arzy S Finke C Functional connectivity of large-scale brain networks in patients with anti-NMDA receptor encephalitis: an observational study. Lancet Psychiatry. 2017; 4: 768-774 Summary Full Text Full Text PDF PubMed Scopus (83) Google Scholar reported the largest functional imaging analysis of such patients to date. They found that, as expected, most patients (72%) did not have structural abnormalities, however there were manifold disturbances in functional connectivity. This pattern aligns with both the clinical features and NMDAR hypofunction models. In fact, the signal was distinctive enough to use a machine learning approach to discern patients from controls with 81% accuracy. 4 Peer M Prüss H Ben-Dayan I Friedemann P Arzy S Finke C Functional connectivity of large-scale brain networks in patients with anti-NMDA receptor encephalitis: an observational study. Lancet Psychiatry. 2017; 4: 768-774 Summary Full Text Full Text PDF PubMed Scopus (83) Google Scholar" @default.
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- W2778336784 date "2018-01-01" @default.
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- W2778336784 title "Neuroimmunology 2017: making progress over 20 years" @default.
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- W2778336784 doi "https://doi.org/10.1016/s2215-0366(17)30482-0" @default.
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