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Temporal Changes on 123 I-Iomazenil and Cerebral Blood Flow Single-photon Emission Computed Tomography in a Patient with Anti-N-methyl-D-aspartate Receptor Encephalitis

Hiroo Kasahara, Masayuki Sato, Shun Nagamine, Kouki Makioka, Keiko Tanaka, Yoshio Ikeda

Intern Med. 2019 May 15;58(10):1501-1505.

PMID: 30713292

Abstract:

A 45-year-old man was admitted due to tonic seizures, aphasia, disturbance of consciousness, and abnormal behavior. Because cerebral magnetic resonance imaging findings were normal and mild cerebrospinal fluid (CSF) pleocytosis was observed, autoimmune encephalitis was suspected. The presence of anti-N-methyl-D-aspartate (NMDA) receptor antibodies in the CSF was subsequently confirmed. 123I-Iomazenil and cerebral blood flow single photon emission computed tomography (SPECT) revealed an abnormal uptake in the left frontotemporal region. Multimodal immunotherapy was administered, which remarkably improved the level of consciousness. Progressive reversibility of SPECT findings with clinical improvement suggested that the disorder-related functional deficits had been caused by anti-NMDA receptor antibodies.

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AP127985211 Iomazenil Iomazenil 127985-21-1 Price
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