Table 4 Patient management

Therapy and dosage for anti-NMDAR encephalitis

Intravenous immunoglobulins (IVIG:0.4 g/kg + methylprednisolone 1 gm iv daily for 5 days followed by:

Prednisolone 1 mg/kg/day in a tapering dose

Agitation

 Haloperidol 5 mg iv stat dose

 Clonazepam: 0.5 mg once daily

Convulsions and abnormal movements: levetiracetam: 500 mg iv twice daily

Additional consideration

 Ryle feeding replaced after 4 weeks by gastric tube placement

 Gastric tube placement for 2 weeks

Early physical therapy