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Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
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Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
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Toxoplasmosis, a zoonotic disease caused by the protozoan Toxoplasma gondii, poses significant public health challenges globally due to its high seroprevalence and varied clinical manifestations. As an obligate intracellular parasite, T. gondii can infect all warm-blooded vertebrates, but felids are its only definitive hosts, shedding unsporulated oocysts into the environment. Humans typically acquire the infection through ingestion of tissue cysts in undercooked meat or oocysts from...

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Limbic encephalitis associated with immature teratoma.

H de Lins e Horta1, A Fonseca de Castro, R Porto Fonseca

  • 1Oncomed, Belo Horizonte, Brazil. henriquelhbh-onco@yahoo.com.br

European Journal of Gynaecological Oncology
|August 25, 2009
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Summary

Paraneoplastic neurological syndrome (PNS) can manifest as limbic encephalitis, often linked to tumors. Early surgical intervention in a case of immature teratoma led to complete neurological recovery, highlighting the importance of prompt diagnosis and treatment.

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Area of Science:

  • Neurology
  • Oncology
  • Immunology

Background:

  • Paraneoplastic neurological syndromes (PNS) are rare autoimmune disorders triggered by cancer.
  • Limbic encephalitis is a specific neurological manifestation of PNS, affecting memory and behavior.
  • Immature teratomas, though rare, can be associated with paraneoplastic syndromes.

Observation:

  • A young, previously healthy female presented with severe limbic encephalitis.
  • The patient was diagnosed with an underlying immature teratoma.
  • Symptoms included significant neurological deficits impacting cognitive function and behavior.

Findings:

  • Surgical resection of the immature teratoma was performed.
  • Following surgery, the patient experienced rapid and progressive neurological improvement.
  • Complete regression of limbic encephalitis symptoms was observed during follow-up.

Implications:

  • This case underscores the critical importance of recognizing and managing PNS, even in the context of potentially curable tumors.
  • Prompt diagnosis and treatment, including surgical tumor removal, can lead to favorable neurological outcomes.
  • Failure to identify and treat PNS can result in permanent disability or death, despite high cancer cure rates.