Autoimmune limbic encephalitis in association with acute stroke

A 60-year-old woman with no known medical history presented with acute-onset altered mental status and aphasia. She was in her usual state of health until the time of presentation. She was found to have left middle and posterior cerebral artery (MCA and PCA) acute ischemic strokes and subsequently developed refractory status epilepticus. CT angiography showed moderate stenosis of the proximal left internal carotid artery (ICA), occlusion of the right ICA at its origin, and near-complete occlusion of the left vertebral artery (figure). Strokes were attributed to large-vessel atherosclerotic disease in the setting of multiple vascular risk factors including diabetes (A1c 13.5%), hypertension, and hyperlipidemia (low-density lipoprotein 244 mg/dL).
Source: Neurology Clinical Practice - Category: Neurology Authors: Tags: All Immunology, All Cerebrovascular disease/Stroke Case Source Type: research