Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2022; 10(18): 6148-6155
Published online Jun 26, 2022. doi: 10.12998/wjcc.v10.i18.6148
Overlapping syndrome of recurrent anti-N-methyl-D-aspartate receptor encephalitis and anti-myelin oligodendrocyte glycoprotein demyelinating diseases: A case report
Xue-Jing Yin, Li-Fang Zhang, Li-Hua Bao, Zhi-Chao Feng, Jin-Hua Chen, Bing-Xia Li, Juan Zhang
Xue-Jing Yin, Zhi-Chao Feng, Department of Neurology, Changzhi Medical College, Changzhi 046000, Shanxi Province, China
Li-Fang Zhang, Li-Hua Bao, Jin-Hua Chen, Bing-Xia Li, Juan Zhang, Department of Neurology, Changzhi People's Hospital, Changzhi 046000, Shanxi Province, China
Author contributions: Yin XJ, Bao LH and Li BX, were the patient’s physician, reviewed the literature and contributed to manuscript drafting; Feng ZC and Zhang J performed and analyzed the magnetic resonance imaging; Zhang LF and Chen JH were responsible for the revision of the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Supported by Health Commission of Shanxi Province Issued "Four Approval" Scientific and Technological Innovation Projects in 2020, No. 2020XM38.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jinhua Chen, MM, Vice President, Chief Physician, Professor, Department of Neurology, Changzhi People's Hospital, No. 502 Changxing Middle Road, Changzhi 046000, Shanxi Province, China. cjhua0355@163.com
Received: October 26, 2021
Peer-review started: October 26, 2021
First decision: March 7, 2022
Revised: March 16, 2022
Accepted: April 30, 2022
Article in press: April 30, 2022
Published online: June 26, 2022
Processing time: 233 Days and 11.2 Hours
Core Tip

Core Tip: Here we present a man with autoimmune encephalitis in whom antibodies against N-methyl-D-aspartate receptor and myelin oligodendrocyte glycoprotein were sequentially detected. This is the first recurrent N-methyl-D-aspartate receptor encephalitis case in the literature for which antibodies of N-methyl-D-aspartate receptor and myelin oligodendrocyte glycoprotein were positive simultaneously and both supratentorial and infratentorial cranial magnetic resonance imaging were involved. Also, the patient responded very well with the optic nerve injury and encephalitis completely recovering. Psoriasis detected at the 6-mo follow-up may also be an immune-related disease, but the mechanism is unknown.