Optic Nerve Atrophy in N-methyl-D-aspartate (NMDA) Encephalitis

David C Schulz1, Sachin K Pandey2, Lulu L C D Bursztyn1,3

  • 1Department of Ophthalmology, Western University, London, Canada.

Insights

N-methyl-D-aspartate receptor (NMDA) encephalitis can cause vision loss. This case report highlights bilateral optic neuropathy in a young man with NMDA receptor encephalitis, emphasizing the importance of recognizing this neurological complication.

Area of Science:

  • Neurology
  • Immunology
  • Ophthalmology

Background:

  • N-methyl-D-aspartate receptor (NMDA) encephalitis is an autoimmune disorder.
  • It often presents with psychiatric and neurological symptoms.
  • Tumors, particularly teratomas, are associated with NMDA encephalitis.

Observation:

  • Optic neuropathy is an increasingly recognized complication of NMDA encephalitis.
  • This report details a case of bilateral optic neuropathy in a young male patient.
  • The patient was diagnosed with NMDA receptor encephalitis.

Findings:

  • The diagnosis of NMDA encephalitis was confirmed by detecting NMDA antibodies.
  • The patient presented with bilateral optic neuropathy.
  • This case adds to the literature on visual disturbances in NMDA encephalitis.

Implications:

  • Ophthalmologists and neurologists should consider NMDA encephalitis in patients with unexplained optic neuropathy.
  • Early diagnosis and treatment of NMDA encephalitis may improve visual outcomes.
  • Further research is needed to understand the mechanisms of optic nerve involvement in autoimmune encephalitis.