@article {Janmohamedbcr-2017-224060, author = {Mubeen Janmohamed and Wally Knezevic and Merrilee Needham and Sam Salman}, title = {Primary lateral sclerosis-like picture in a patient with a remote history of anti-N-methyl-D- aspartate receptor (anti-NMDAR) antibody encephalitis}, volume = {2018}, elocation-id = {bcr-2017-224060}, year = {2018}, doi = {10.1136/bcr-2017-224060}, publisher = {BMJ Publishing Group}, abstract = {Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a well-recognised disorder, first fully characterised in 2007. The long-term sequelae reported thus far include relapses with typical, as well as partial aspects of the well-defined neuropsychiatric syndrome. Rarely, isolated atypical symptoms (diplopia, ataxia and tremor) have been reported as relapse phenomenon. We report a case of a patient with a remote history of likely anti-NMDAR encephalitis with the longest follow-up reported in the literature to date (22 years). The relapse presentation was of a purely upper motor neuron syndrome with a primary lateral sclerosis-like picture.}, URL = {https://casereports.bmj.com/content/2018/bcr-2017-224060}, eprint = {https://casereports.bmj.com/content/2018/bcr-2017-224060.full.pdf}, journal = {Case Reports} }