Neurol Case Rep | Volume 3, Issue 1 | Case Study | Open Access
Manisha Kotay
Department of Neurology, American University of the Caribbean, USA
*Correspondance to: Manisha Kotay
Fulltext PDFA teenage girl came to a pediatrician presenting with a movement disturbance comprised of extension of the right arm, a fixed left arm, body shaking, grimacing, and whimpering. This began happening 2 years ago and had increased in severity the past week. Her previous EEGs had been within normal limits. One previous doctor had thought this a behavioral disorder and prescribed an antidepressant- the parent declined to give this as they did not believe the diagnosis. The patient was formerly a very good student but had since dropped to barely passing classes. She was seen over the course of 2 months between a pediatrics practice and a children’s hospital. The differential ranged from psychological, to metabolic, to autoimmune. Several EEGs had come back within normal limits even during movement spells. Finally, an antibody serology provided a diagnosis of autoimmune encephalitis and treatment was started. The patient has since shown great improvements.
Kotay M. Movement and Neurological Disturbance in a Teenage Patient. Neurol Case Rep. 2020;3(1):1019..