Catatonia during stroke rehabilitation: autoimmune encephalitis following meningovascular neurosyphilis.

Key Points

• The report aims to discuss the occurrence of catatonia during stroke rehabilitation due to autoimmune encephalitis post-meningovascular neurosyphilis.
• Identified presence of NMDAR autoantibodies in cerebrospinal fluid.
• Administered high-dose intravenous corticosteroids and plasma exchange as treatment.
• Assessed recovery of catatonia following treatment.
• Catatonia resolved after treatment with corticosteroids and plasma exchange.
• Identification of NMDAR autoantibodies suggested postinfective encephalitis.
• Highlights the need for flexibility in diagnosing encephalitis from various infections.

Abstract