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encephalitis; never developing cerebellar ataxia, investigate other etiologies of a patient’s symptoms.
epilepsy, or palatal tremor. Autoimmune limbic encephalitis should be considered
in patients with psychosis refractory to medications
The role of autoimmune disease in pregnancy is brought and no identifiable cause.
to question in this case. Not only did our patient
develop symptoms of anti-NMDAR encephalitis much REFERENCES
earlier in pregnancy than in previously described cases,
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be needed to determine if this is simply a correlation Paganini M, Mazzi G, Sorbi S, Tinuper P. Non‑paraneoplastic limbic
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This case also illustrates the need for an extensive Casamitjana R, Ramio‑Torrenta L, Graus F. Spectrum of
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neuronal autoantibodies, a patient presenting 7. Kumar MA, Jain A, Dechant VE, Saito T, Rafael T, Aizawa H,
with Hashimoto’s thyroiditis and neuropsychiatric Dysart KC, Katayama T, Ito Y, Araki N, Abe T, Balice‑Gordon R,
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[5]
anti-TPO antibodies, a more exhaustive search for
other antibodies is required in order to gain full Cite this article as: Goyal M, Gildersleeve KL, Tomko SL, Kass JS. Multiple
autoimmune antibody limbic encephalitis: a case in a pregnant woman.
appreciation of the patient’s disease. Furthermore, Neuroimmunol Neuroinflammation 2015;2(1):46-8.
Hashimoto’s encephalopathy is responsive to steroids. Source of Support: Nil. Conflict of Interest: No.
Steroid-refractory disease should lead clinicians to Received: 19-08-2014; Accepted: 30-09-2014

48 Neuroimmunol Neuroinflammation | Volume 2 | Issue 1 | January 15, 2015