Altered Mental Status (AMS)

Risk Factors

Presentations

Investigations

LP - Lumbar Puncture (Pa<25) show WBC > 5 NMDA Ab (most common) Brain MRI → MTL (hippocampus) lesion, EEG for seizure, panCT too look for malignancy

Image Finding

T2 FLAIRE

Diagnostic Criteria

Treatment

Oral Corticosteroid (OCS) or other Immunosuppression drugs IVIG, PLEX - Plasma exchange

NMDA Ab