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Case 67 - A 16-Year-Old G0 Adolescent with Acute Psychosis and 3 cm Ovarian Dermoid Cyst

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

The gynecology service is consulted on a 16-year-old gravida 0 admitted to the inpatient psychiatric service to rule out physiologic concerns of acute psychosis. On day 2 of her admission, she had a witnessed grand mal seizure. EEG was performed and demonstrated slow delta waves in the frontal temporal area. An MRI showed no abnormalities and a lumbar puncture revealed lymphocytic pleocytosis and was positive for N-methyl-D-aspartate receptor (NMDAR) antibodies. Her last menstrual period was two weeks ago. She has never been sexually active. She has no past medical or surgical history. Her parents deny concern for alcohol, drug use or ingestion, or tobacco use. She is not taking any medications and has no known drug allergies.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 203 - 205
Publisher: Cambridge University Press
Print publication year: 2021

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References

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