Treatment resistant psychiatric disease, anti-NMDA receptor antibody encephalitis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Psychiatric patients who did not remitted by the standard more than 2 medications. Normal controls are healthy volunteers.
Exclusion criteria
Exclusion criteria: Psychiatric patients who were treated by less than 1 standard psychiatric medication.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Demographic information of the targets are age, gender, psychiatric symptoms, disease duration and psychiatric diagnosis. Clinical symptoms include disturbance of consciousness, convulsions, disorientation, impaired short-term memory, anarithmia, configuration failure, hallucinations, delusions, anxiety, depression, emotional lability, personality change, gait disturbance, bradykinesia, muscular rigidity, tremor and Katatonia. Blood tests include general blood tests, autoantibodies such as TG and TPO antibodies and thyroid function tests (TSH fT3 fT4). Anti-neuronal antibodies are anti-NMDA-NR1 and NR2 antibody. Cerebrospinal fluid tests includes general examination, anti-NMDA-NR1 and NR2 antibody. Imaging and physiological function tests are head MRI examination, head SPECT and EEG. Psychological tests are cognitive function test such as WAIS-III, WMS-R, WCST, MMSE, and HDS-R. Psychiatric evaluation includes PANSS and BPRS. (We use the data that is listed in the medical record) For the normal volunteer, we perform blood tests, head MRI examination and psychological examination. Cerebrospinal fluid examination is performed when the consent was obtained from the volunteer. | — |
Secondary
| Measure | Time frame |
|---|---|
| Correlation between the titer of the anti-NMDA receptor antibodies and the clinical symptoms, clinical diagnosis, the results of laboratory and imaging examination. | — |
Countries
Japan
Contacts
Yokohama city university hospital Department of psychiatry