Read story C31: More than a change in behaviour (image and text)
Autoimmune encephalitis and delirium: an uncommon cause of a major change
Over a short period, Leila’s behaviour and memory change markedly. She then becomes confused, can’t follow a conversation and has a seizure. Psychiatry and neurology work together to assess an uncommon neurological cause. Specialist investigations identify autoimmune encephalitis. Treatment and rehabilitation are prolonged. This is not a suggestion that most delirium or behavioural changes have this cause.
Story text
Panel 1. Over two weeks, Leila’s sleep, behaviour and memory change markedly.
Panel 2. She becomes acutely confused and has a seizure. In hospital, delirium is diagnosed.
Panel 3.
- Psychiatrist: This needs a neurological assessment as well.
Panel 4. Specialist assessment includes brain imaging, electrical recording and spinal-fluid tests.
Panel 5.
- Neurologist: She has autoimmune encephalitis. Her immune system is affecting her brain.
Panel 6. Specialist treatment begins. Recovery and rehabilitation take months.
Bottom band. Autoimmune encephalitis is an uncommon cause of major changes in thinking and behaviour. It needs specialist care.