Association of Autonomic Storming with Urinary Catheter Removal in NMDA Receptor Encephalitis: A Case Report

Natalie Neale; Cody Nathan; Sok Lee; Atul Kalanuria

doi:10.1177/1941874420932457

Association of Autonomic Storming with Urinary Catheter Removal in NMDA Receptor Encephalitis: A Case Report

Natalie Neale^*, Cody Nathan, Sok Lee, Atul Kalanuria

^*Corresponding author for this work

Neurology

Research output: Contribution to journal › Article › peer-review

Abstract

We present a case of a 47-year-old female who presented with altered mental status and was found to have severe anti-NMDA receptor encephalitis. Her intensive care unit course was complicated by paroxysmal sympathetic storming. She also had urinary retention for which a catheter was placed early in her admission, but attempts at removal were associated with worsening storming. Her average Clinical Features Scale score was 5.9 when the catheter was not in place compared to 3.6 with the catheter in place. This is the first case report to our knowledge demonstrating an association between urinary catheter removal and autonomic storming in anti-NMDA receptor encephalitis.

Original language	English (US)
Pages (from-to)	45-48
Number of pages	4
Journal	Neurohospitalist
Volume	11
Issue number	1
DOIs	https://doi.org/10.1177/1941874420932457
State	Published - Jan 2021

Keywords

anti-NMDA receptor encephalitis
autonomic storming
catheter removal
clinical specialty
neurocritical care

ASJC Scopus subject areas

Clinical Neurology

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10.1177/1941874420932457

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abstract = "We present a case of a 47-year-old female who presented with altered mental status and was found to have severe anti-NMDA receptor encephalitis. Her intensive care unit course was complicated by paroxysmal sympathetic storming. She also had urinary retention for which a catheter was placed early in her admission, but attempts at removal were associated with worsening storming. Her average Clinical Features Scale score was 5.9 when the catheter was not in place compared to 3.6 with the catheter in place. This is the first case report to our knowledge demonstrating an association between urinary catheter removal and autonomic storming in anti-NMDA receptor encephalitis.",

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AU - Nathan, Cody

AU - Lee, Sok

AU - Kalanuria, Atul

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AB - We present a case of a 47-year-old female who presented with altered mental status and was found to have severe anti-NMDA receptor encephalitis. Her intensive care unit course was complicated by paroxysmal sympathetic storming. She also had urinary retention for which a catheter was placed early in her admission, but attempts at removal were associated with worsening storming. Her average Clinical Features Scale score was 5.9 when the catheter was not in place compared to 3.6 with the catheter in place. This is the first case report to our knowledge demonstrating an association between urinary catheter removal and autonomic storming in anti-NMDA receptor encephalitis.

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Association of Autonomic Storming with Urinary Catheter Removal in NMDA Receptor Encephalitis: A Case Report

Abstract

Keywords

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