Autoimmune encephalitis: suggestive red flags

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Autoimmune encephalitis: suggestive red flags. Subacute onset, Orofacial dyskinesia, Choreoathetosis. Fully referenced neurology checklist.

Features suggesting autoimmune encephalitis

  • Subacute onset
  • Orofacial dyskinesia
  • Choreoathetosis
  • Facio-brachial dystonia
  • Intractable seizures
  • Hyponatremia
  • First-episode psychosis
  • Autonomic instability
  • Sensitivity to antipsychotic drugs: e.g. neuroleptic malignant syndrome (NMS)

References

  1. Solomon T, Michael BD, Smith PE, et al. Management of suspected viral encephalitis in adults-Association of British Neurologists and British Infection Association national guidelines. J Infect 2012; 64:347-373.
  2. Rickard H, Jacob S, Lennox B, Nicholson T. Autoimmune encephalitis: a potentially treatable cause of mental disorder. Adv Psychiatr Treat 2014; 20:92-100.

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