Extreme Delta Brush Electroencephalography Pattern in Anti-yo Encephalitis: A Case Report Article Swipe
Fu-Yao Xiao
,
Yi Liu
,
Yu‐Kai Lin
,
Chia‐Kuang Tsai
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.4103/jmedsci.jmedsci_4_24
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.4103/jmedsci.jmedsci_4_24
Autoimmune encephalitis is complex and gradually being recognized. Anti-N-methyl-D-aspartate Receptor (Anti-NMDAR) encephalitis was the most well-known and its unique electroencephalography (EEG) pattern is extreme delta brush (EDB). Anti-Yo encephalitits is far less than common anti-NMDAR encephalitis (anti-NMDARE ) . A 78-year-old male presented with progressive apathy, hypotension, unsteady gait, and depressed consciousness. EEG revealed an EDB pattern while the serum test was positive for anti-Yo antibodies. The patient then received 10 rounds of plasma exchange, and his blood pressure stability improved. Consequently, urine cytology and abdominal computed tomography revealed atypical cells and linear enhancement in the bladder dome, respectively. However, instead of further pathological confirmation and treatment, the patient’s family requested hospice care. As a result, the patient died of desaturation 7 days later after the withdrawal of ventilatory support. First recognized in 2012, EDB is believed to be specific to NMDARE. However, to date, EDB has not been well described, and no description is available regarding its reactivity. To our knowledge, this is the first case of EDB with anti-Yo encephalitis. Similar to the cases of EDB with anti-NMDARE, our patient did not have satisfied prognosis despite no further investigation and treatment of the possible underlying malignancy. As the prevalence and underlying mechanism of this EEG pattern are unclear, further studies are warranted to identify the potentially similar mechanisms and correlation between anti-NMDAR and anti-Yo encephalitis.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/jmedsci.jmedsci_4_24
- OA Status
- diamond
- Cited By
- 1
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- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396978254Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/jmedsci.jmedsci_4_24Digital Object Identifier
- Title
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Extreme Delta Brush Electroencephalography Pattern in Anti-yo Encephalitis: A Case ReportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-05-15Full publication date if available
- Authors
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Fu-Yao Xiao, Yi Liu, Yu‐Kai Lin, Chia‐Kuang TsaiList of authors in order
- Landing page
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https://doi.org/10.4103/jmedsci.jmedsci_4_24Publisher landing page
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://doi.org/10.4103/jmedsci.jmedsci_4_24Direct OA link when available
- Concepts
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Medicine, Electroencephalography, Brush, Delta, Encephalitis, Virology, Psychiatry, Virus, Aerospace engineering, Engineering, Electrical engineeringTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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