What is the diagnostic yield of working up suspected autoimmune encephalitis in patients with new onset behavioral disturbance without overt neurological deficits?
Anecdotally, the diagnostic yield in these patients seems quite low, yet autoimmune encephalitis is often invoked in such patients, particularly in those of more advanced age.
Answer from: at Academic Institution
Unless there is another obvious cause for the behavioral change, I would consider this a neurological deficit. In my experience, such a work-up, including imaging and CSF analysis, is appropriate for any patient outside of the typical age range for new-onset mood disorder.
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