Case Report
Chronic Neuropsychological Sequelae in a Patient with Nontumorous Anti-NMDA-Receptor Encephalitis
Table 1
Neuropsychological test scores.
| Domain | Function | Measure | Standard scores | Percentile |
| Expected intelligence | Estimated premorbid IQ | WRAT-4 Reading subtest | 86 | 18 |
| General intelligence | Full scale IQ | WAIS- IV | 75 | 5 |
| Verbal memory | Total verbal learning | CVLT-II trials 1–5 total | 98 | 45 | New learning as distraction to old learning | CVLT-II trial B | 107 | 68 | Short delay recall | CVLT-II short delay | 78 | 7 | Long delay recall | CVLT-II long delay | 85 | 16 | Recognition | CVLT-II discriminability | 115 | 84 |
| Visual memory | Total visual learning | BVMT-R trials 1–3 total | <65 | <1 | Delay recall | BVMT-R delay | <65 | <1 | Recognition | BVMT-R Discrimination Index | — | 1-2 |
| Attention | Working memory | WAIS-IV Working Memory Index | 80 | 9 | Psychomotor speed & attention | Trails A | 88 | 21 |
| Higher order executive skills | Mental flexibility | Trails B | 58 | .3 | Response inhibition | Stroop C-W | 91 | 27 | Novel problem solving | WCST total error | 78 | 7 | WCST-64 perseverative responses | 86 | 18 | WCST-64 perseverative errors | 87 | 9 | WCST-64 categories completed | — | 2–5 | WCST-64 failure to maintain set | — | — |
| Speed | Processing speed | WAIS-IV Processing Speed Index | 86 | 18 | Recognition speed | Stroop W | 84 | 14 | Stroop C | 86 | 16 |
| Verbal general | Verbal comprehension | WAIS-IV Verbal Comprehension Index | 83 | 13 |
| Expressive | Semantic fluency | Animals | 58 | .3 | Phonemic fluency | FAS | 58 | .3 | Naming | BNT-2 | 64 | .8 | Repetition | MAE sentences | 71 | 3 |
| Receptive | Comprehension | MAE token | 106 | 67 |
| General perception | Perceptual reasoning | WAIS-IV Perceptual Reasoning Index | 71 | 3 |
| Visuospatial construction | Visuomotor construction | Clock drawing | — | — |
| Spatial perception | Visual perception | JOLO | 79 | 8 |
| Motor | Manual dexterity | GD dominant hand | 67 | 1.4 | GD nondominant hand | 64 | .8 |
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WRAT-4 Reading = Wide Range Achievement Test, 4th Edition; WAIS-IV = Wechsler Adult Intelligence Scale, 4th Edition; CVLT-II = California Verbal Learning Test, 2nd Edition; BVMT-R = Brief Visuospatial Memory Test-Revised; Trails A = Trail Making Test Form A; Trails B = Trail Making Test Form B; Stroop C = Stroop Color Subtest; Stroop W = Stroop Word Subtest; Stroop C-W = Stroop Color-Word Subtest; WCST = Wisconsin Card Sorting Test; Animals = semantic fluency; FAS = phonemic fluency; BNT-2 = Boston Naming Test, 2nd Edition; MAE = Multilingual Aphasia Examination; JOLO = Judgment of Line Orientation Test; GD = grip dynamometer.
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