Megan Ralston

Jan 11, 2024 | psychiatrist.com | David Spiegel |Megan Ralston |Alim Osman |Abbey Mclean

The most common and first described autoimmune encephalitis syndrome is anti–N-methyl-d-aspartate receptor (NMDAR) encephalitis.1 An underlying tumor is found in 25%–40% of patients and corresponds to ovarian teratoma (OT) in 90% of these tumors2; however, negative imaging results can occur.3 Thus, we present a patient with this scenario and the dilemmas involved in treatment.

Jul 25, 2023 | psychiatrist.com | David Spiegel |Shaan Sharma |Megan Ralston |Pavan Suryadevara

Multiple sclerosis (MS) is an autoimmune, inflammatory demyelinating disease of the central nervous system.1 While uncommon, the prevalence of psychosis in MS (MS-P) has been reported in between 2% and 4% of patients, compared with 0.5% and 1% in the general population.2 We present the case of a patient with no prior psychiatric/medical history, with acute-onset left facial droop and other stigmata of MS with subacute onset of psychosis, who was ultimately diagnosed with MS-P.