TY - JOUR T1 - Enoxaparin-induced Wunderlich syndrome in a young patient with anti-GAD 65-associated opsoclonus and limbic encephalitis: a rare complication in a rare disease JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-244916 VL - 14 IS - 10 SP - e244916 AU - Saranya B Gomathy AU - Animesh Das AU - Awadh Kishor Pandit AU - Achal Kumar Srivastava Y1 - 2021/10/01 UR - http://casereports.bmj.com/content/14/10/e244916.abstract N2 - Wunderlich syndrome is a rare condition characterised by acute spontaneous non-traumatic renal haemorrhage into the subcapsular and perirenal spaces. Our case of anti-GAD65-associated autoimmune encephalitis (AE), aged 30 years, developed this complication following use of enoxaparin and was managed by selective glue embolisation of subsegmental branches of right renal cortical arteries. Our case had opsoclonus as one of the clinical manifestations, which has till now been described in only two patients of this AE. This patient received all forms of induction therapies (steroids, plasmapheresis, intravenous immunoglobulin and rituximab) following which she had good improvement in her clinical condition. The good response to immunotherapy is also a point of discussion as this has been rarely associated with anti-GAD65 AE. ER -