Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG

A man in his 60s with prior history of coronary artery bypass graft was found collapsed, unresponsive on the floor by family. ECG demonstrated an inferior ST elevation myocardial infarction. However, coronary angiography was negative for a culprit lesion. A faciobrachial dystonic seizure was witness...

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Autores principales: Zeitjian, Armen, Noor, Benjamin, Chand, Robin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Case Reports: Unusual association of diseases/symptoms
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111903/
https://www.ncbi.nlm.nih.gov/pubmed/37068845
http://dx.doi.org/10.1136/bcr-2022-253754
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author Zeitjian, Armen
Noor, Benjamin
Chand, Robin
author_facet Zeitjian, Armen
Noor, Benjamin
Chand, Robin
author_sort Zeitjian, Armen
collection PubMed
description A man in his 60s with prior history of coronary artery bypass graft was found collapsed, unresponsive on the floor by family. ECG demonstrated an inferior ST elevation myocardial infarction. However, coronary angiography was negative for a culprit lesion. A faciobrachial dystonic seizure was witnessed during his hospitalisation, ultimately leading to a diagnosis of leucine-rich glioma-inactivated 1 (LGI-1) autoimmune encephalitis. It is likely that neurogenic stunned myocardium led to this presentation.
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spelling pubmed-101119032023-04-19 Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG Zeitjian, Armen Noor, Benjamin Chand, Robin BMJ Case Rep Case Reports: Unusual association of diseases/symptoms A man in his 60s with prior history of coronary artery bypass graft was found collapsed, unresponsive on the floor by family. ECG demonstrated an inferior ST elevation myocardial infarction. However, coronary angiography was negative for a culprit lesion. A faciobrachial dystonic seizure was witnessed during his hospitalisation, ultimately leading to a diagnosis of leucine-rich glioma-inactivated 1 (LGI-1) autoimmune encephalitis. It is likely that neurogenic stunned myocardium led to this presentation. BMJ Publishing Group 2023-04-17 /pmc/articles/PMC10111903/ /pubmed/37068845 http://dx.doi.org/10.1136/bcr-2022-253754 Text en © BMJ Publishing Group Limited 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Reports: Unusual association of diseases/symptoms
Zeitjian, Armen
Noor, Benjamin
Chand, Robin
Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG
title Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG
title_full Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG
title_fullStr Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG
title_full_unstemmed Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG
title_short Autoimmune limbic encephalitis mimicking inferior myocardial infarction on ECG
title_sort autoimmune limbic encephalitis mimicking inferior myocardial infarction on ecg
topic Case Reports: Unusual association of diseases/symptoms
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111903/
https://www.ncbi.nlm.nih.gov/pubmed/37068845
http://dx.doi.org/10.1136/bcr-2022-253754
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