{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:56:33Z","timestamp":1777773393604,"version":"3.51.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2026,4,13]]},"abstract":"<jats:p>\n                    A 39-year-old man developed progressive right middle cerebral artery distribution strokes as a manifestation of meningovascular neurosyphilis. He also had hypertension and smoked cigarettes. He subsequently developed neuropsychiatric symptoms despite appropriate syphilis treatment, prompting further investigation which identified anti-N-methyl-\n                    <jats:italic>D-<\/jats:italic>\n                    aspartate receptor (NMDAR) autoantibodies in the cerebrospinal fluid. The catatonia resolved after high-dose intravenous corticosteroids and plasma exchange for suspected anti-NMDAR encephalitis. This report highlights the importance of diagnostic flexibility and is a further example of postinfective NMDAR encephalitis after infections other than HSV-1 encephalitis.\n                  <\/jats:p>","DOI":"10.1136\/pn-2025-004958","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:20:54Z","timestamp":1777483254000},"page":"pn-2025-004958","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Catatonia during stroke rehabilitation: autoimmune encephalitis following meningovascular neurosyphilis"],"prefix":"10.1136","author":[{"given":"Derek","family":"Barisas","sequence":"first","affiliation":[{"name":"Psychiatry, Johns Hopkins University, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Alexander","sequence":"additional","affiliation":[{"name":"Neurology, Washington University in St Louis, St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Roach","sequence":"additional","affiliation":[{"name":"Neurology, Washington University in St Louis, St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse","family":"Crayle","sequence":"additional","affiliation":[{"name":"Neurology, Washington University in St Louis, St. Louis, Missouri, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"2026042910202582000_pn-2025-004958v1.1","doi-asserted-by":"publisher","DOI":"10.1136\/pn-2022-003449"},{"key":"2026042910202582000_pn-2025-004958v1.2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000375"},{"key":"2026042910202582000_pn-2025-004958v1.3","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2021-003212"},{"key":"2026042910202582000_pn-2025-004958v1.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1906228"},{"key":"2026042910202582000_pn-2025-004958v1.5","doi-asserted-by":"crossref","first-page":"e57","DOI":"10.1093\/cid\/ciad437","article-title":"State-of-the-Art Review: Neurosyphilis","volume":"78","author":"Hamill","year":"2024","journal-title":"Clin Infect Dis"},{"key":"2026042910202582000_pn-2025-004958v1.6","doi-asserted-by":"crossref","first-page":"17073","DOI":"10.1038\/nrdp.2017.73","article-title":"Syphilis","volume":"3","author":"Peeling","year":"2017","journal-title":"Nat Rev Dis Primers"},{"key":"2026042910202582000_pn-2025-004958v1.7","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1212\/CON.0000000000001448","article-title":"Autoimmune Encephalitis","volume":"30","author":"Irani","year":"2024","journal-title":"Continuum (Mount Lawley)"},{"key":"2026042910202582000_pn-2025-004958v1.8","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00401-9"},{"key":"2026042910202582000_pn-2025-004958v1.9","doi-asserted-by":"crossref","DOI":"10.1212\/NXI.0000000000001127","article-title":"Anti-NMDAR Encephalitis in the Netherlands, Focusing on Late-Onset Patients and Antibody Test Accuracy","volume":"9","author":"Bastiaansen","year":"2022","journal-title":"Neurol Neuroimmunol Neuroinflamm"},{"key":"2026042910202582000_pn-2025-004958v1.10","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1001\/jamaneurol.2022.4251","article-title":"Autoimmune Encephalitis Misdiagnosis in Adults","volume":"80","author":"Flanagan","year":"2023","journal-title":"JAMA Neurol"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/pn-2025-004958","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:20:55Z","timestamp":1777483255000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/pn-2025-004958"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":10,"alternative-id":["10.1136\/pn-2025-004958"],"URL":"https:\/\/doi.org\/10.1136\/pn-2025-004958","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"value":"1474-7758","type":"print"},{"value":"1474-7766","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]}}}