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Michelle Thomas, Alexandra Haigh, Tarun Girotra, Elizabeth Macri
Anti-N-methyl-D-aspartate receptor encephalitis (NMDA-RE) is rare autoimmune encephalitis, which classically has been associated with ovarian teratoma but rarely with concomitant viral encephalitis. Physicians need to be aware that patients may have NMDAR antibodies present in the CSF even if the serum test is negative. The patients would have never been correctly diagnosed if she had solely been tested for NMDAR antibodies in the serum.