Case 26-2008: A 26-Year-Old Woman with Headache and Behavioral Changes
Abstract
A 26-year-old woman was admitted to this hospital because of headache, behavioral changes, abnormal movements, and inability to communicate. Seven weeks before admission, headaches developed, followed by somnolence, mood alteration, confusion, memory loss, incoherent speech, and involuntary movements. An evaluation for infection was negative. Imaging studies showed a normal brain and an ovarian mass consistent with a dermoid cyst. A diagnostic procedure was performed.
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If a tumor is found, removal is important because it expedites improvement and decreases relapses.
“If a tumor is found, removal is important because it expedites improvement and decreases relapses.3, 17”
From Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study (2013) · cites this paper as [17]
Cites
Dalmau, J., Tüzün, E., Wu, H., Masjuan, J., Rossi, J. E., Voloschin, A., Baehring, J. M., Shimazaki, H., Koide, R., King, D., et al. (2007) · Annals of Neurology · doi:10.1002/ana.21050 · Cited by 2,492 · see citing works
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Titulaer, M. J., McCracken, L., Gabilondo, I., Armangué, T., Glaser, C., Iizuka, T., Honig, L. S., Benseler, S. M., Kawachi, I., Martinez-Hernandez, E., et al. (2013) · The Lancet Neurology · doi:10.1016/s1474-4422(12)70310-1 · Cited by 3,165 · see citing works
- Authors
- Sabin, T. D., Jednacz, J. A., & Staats, P. N.
- Affiliations
- Tufts University (US)
- Massachusetts General Hospital (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2008-08-21
- Volume
- 359
- Issue
- 8
- Pages
- 842-853
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2327526107
- Cited by
- 41
- References
- 1
- Citations by year
- 2026: 1 · 2025: 1 · 2021: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 4
- FWCI
- 4.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Medical Case Reports and Studies
- Health Sciences › Medicine › Surgery › Teratomas and Epidermoid Cysts
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- dermoid cyst, ovarian neoplasms, headache, behavior change, confusion, memory loss, involuntary movements, sleepiness, differential diagnosis
- MeSH terms
- Adult, Mental Disorders, Diagnosis, Differential, Female, Headache, Humans, Kidney, Ovarian Neoplasms, Ovary, Radiography, Abdominal, Teratoma, Tomography, X-Ray Computed, Limbic Encephalitis
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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