A woman who displayed symptoms of irritation and paranoia has been diagnosed with anti-N-methyl-D-aspartate (anti-NMDA) receptor encephalitis, a type of neurological autoimmune disease, a doctor said on Thursday.
Physicians at Asia University Hospital had to sedate a 35-year-old woman surnamed Tsai (蔡) before admitting her, as she was thrashing around, neurologist Wang Hsin-fan (王馨範) said.
After conducting tests, doctors found that Tsai had more than the regular amount of white blood cells and protein, but a slight decrease in blood sugar and blood flow to the brain, Wang said.
Photo: Chen Chien-chih, Taipei Times
While in the hospital, Tsai experienced epileptic attacks, respiratory depression, an irregular heart rate (cardiac dysrhythmia), elevated levels of carbon dioxide in the bloodstream (hypercapnia), dystonia, fluctuation of blood pressure, unconsciousness and fever, he added.
Tsai at one point had to be placed on breathing support and was initially given antibacterials and steroids, Wang said.
After a cerebrospinal fluid analysis, doctors suspected that Tsai had meningitis, Wang said, adding that it was only after a lab analysis for anti-glutamate receptor antibodies that doctors determined she had anti-NMDA receptor encephalitis.
Tsai then underwent plasmapheresis, which removes harmful antibodies from the blood through a process similar to dialysis, restoring consciousness to Tsai and normalizing her blood pressure and heartbeat, Wang said.
After treatment, Tsai was able to take care of her basic needs, although she still became easily angered before her discharge from the hospital, Wang said.
Initial symptoms for anti-MNDA receptor encephalitis are similar to that for meningitis and can only be differentiated after a cerebrospinal fluid analysis for the antibodies is conducted, Wang said.
About 40 percent of people with the condition develop tumors, while others exhibit immune system abnormalities, Wang said, adding that they should undergo extensive immunotherapy and take additional tests for potential tumors.
Delayed treatment could lead to sequela, which could be fatal if severe enough, he said.
Taiwanese actress Big S, also known as Barbie Hsu (徐熙媛), and Chinese restaurateur Wang Xiaofei (汪小菲) officially announced their divorce yesterday, stating the decision was cordial and that they would be raising their two children together. The statement came by proxy through the couple’s legal counsel, filed by both Wang and Hsu. Hsu and Wang thanked fans for their love and support, with the couple saying that fate had blessed them with a time of happiness, and that they were grateful for their time together. They said that while they walked hand-in-hand as husband and wife, they would continue a cordial relationship as
DESTABILIZING: Beijing’s efforts to choke Taiwan, pressure its friends and hamper its democracy are a threat to the world, AIT Director Sandra Oudkirk said China’s provocative military activities near Taiwan are destabilizing and risk “miscalculation,” American Institute in Taiwan (AIT) Director Sandra Oudkirk said yesterday, reiterating the US’ objection to any unilateral changes to the “status quo” in the Taiwan Strait. Oudkirk made the remarks in a speech at the annual conference of the Association of International Relations in Taipei. “In the Indo-Pacific region, America’s effort to resolve and manage differences with the leadership of the People’s Republic of [PRC] faces distinct challenges,” she said, referencing a range of actions by China that she said run counter to the shared values and interests of the
CCP IDEOLOGY: MAC Deputy Minister Chiu Chui-cheng said the CCP’s consolidation around one leader would shrink the space for economic and private endeavors Beijing plans to intensify its unification campaign, a Mainland Affairs Council (MAC) official said yesterday in an assessment of statements by Chinese leaders, while stressing the importance of consensus among Taiwanese. At a conference on Chinese development and security prospects in the Taiwan Strait, MAC Deputy Minister Chiu Chui-cheng (邱垂正) noted key developments in Chinese Communist Party (CCP) rhetoric. Much attention has been given to the sixth plenum of the CCP Central Committee, which on Nov. 11 issued the party’s third-ever “historical resolution,” paving the way for Chinese President Xi Jinping (習近平) to retain power through next year’s leadership reshuffle, Chiu said. According
MONITORED BY JETS: Chinese aircraft included Y-20 aerial refueling aircraft, suggesting that China refueled its short-range jets during flight The air force scrambled again yesterday to warn away 27 Chinese aircraft that entered its air defense identification zone (ADIZ), the Ministry of National Defense said, the latest increase in tensions across the sensitive Taiwan Strait. Taiwan has complained for a year or more of repeated missions by China’s air force near the nation, often in the southwestern part of its ADIZ, close to the Taiwan-controlled Pratas Islands (Dongsha Islands, 東沙群島). Over a four-day period beginning on Oct. 1, when China marked its national day, Taiwan said that nearly 150 Chinese People’s Liberation Army (PLA) military aircraft entered its ADIZ, not territorial