ISSN 1306-0015 | E-ISSN 1308-6278
Case Report
Extreme delta brush activity; could it be a marker for early diagnosis and prognosis of anti- NMDA encephalitis?
1 Department of Pediatrics, Division of Pediatric Neurology, Ege University School of Medicine, İzmir, Turkey  
Turk Pediatri Ars ; : -
DOI: 10.5152/TurkPediatriArs.2018.4628
Key Words: Anti-nmda ensephalitis, early diagnosis, extreme delta brush, prognosis
Abstract

 

Autoimmune encephalitis should be excluded in unexplained encephalitis. A significant portion of autoimmune encephalitis in childhood is anti- NMDA encephalitis.However, neuroimaging and routine diagnostic tests are inadequate , diagnosis sholud be  confirmed by the demonstration of autoantibodies. The treatment may be delay in this process.Extreme delta brush waves are unique EEG pattern, seen in some of Anti-NMDA encephalitis, useful for early diagnosis .Extreme delta brush activity  is associated with prolonged hospitalization and illness. Despite of these the specificity and sensitivity of this pattern is not-known clearly.

We present a five years old boy with the loss of consciousness, involuntary movements, intermittant generalized tonic clonic seizures and extreme delta brush activity in  EEG.

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