1. Developing Consensus in the Assessment and Treatment Pathways for Autoimmune Encephalitis in Child and Adolescent Psychiatry
- Author
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GenaLynne C. Mooneyham, Vladimir Ferrafiat, Erin Stolte, D. Catherine Fuchs, David Cohen, National Institute of Environmental Health Sciences [Durham] (NIEHS-NIH), National Institutes of Health [Bethesda] (NIH), Hôpital Charles Nicolle [Rouen], University of Alberta, Vanderbilt University Medical Center [Nashville], Vanderbilt University [Nashville], Service de Psychiatrie de l'Enfant et de l'Adolescent [CHU Pitié-Salpêtrière] (SPEA), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Institut des Systèmes Intelligents et de Robotique (ISIR), and Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
medicine.medical_specialty ,Neurology ,lcsh:RC435-571 ,Catatonia ,[SDV]Life Sciences [q-bio] ,medicine.medical_treatment ,neuroimmunology ,electroconvulsive therapy ,Patient care ,03 medical and health sciences ,0302 clinical medicine ,Electroconvulsive therapy ,lcsh:Psychiatry ,medicine ,Child and adolescent psychiatry ,psychosis ,Pediatric rheumatology ,Intensive care medicine ,Psychiatry ,Autoimmune encephalitis ,business.industry ,Symptom burden ,medicine.disease ,autoimmune encephalitis ,3. Good health ,030227 psychiatry ,Psychiatry and Mental health ,Perspective ,neuropsychiatric symptoms ,catatonia ,business ,030217 neurology & neurosurgery - Abstract
International audience; Children with a diagnosis of Autoimmune Encephalitis (AE) frequently require multi-disciplinary care in order to mobilize the assessment and treatment necessary for recovery. Institutional and provider practice differences often influence the diagnostic workup and treatment pathways made available to patients. There are a variety of provider coalitions in pediatric rheumatology, internal medicine, and neurology that have been making meaningful progress toward the development of consensus in assessment and treatment approaches to patient care. However, child psychiatry is currently underrepresented in this work in spite of the high psychiatric symptom burden seen in some young patients. The need for consensus is often made visible only with inter-institutional dialogue regarding patient care trajectories. We aim to review key updates in the assessment and treatment of children and adolescents with autoimmune encephalitis during the acute phase, with or without catatonia, and to outline provider perspectives by comparing current treatment models in the United States, Canada, and Europe.
- Published
- 2021
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