{"id":15131,"date":"2020-09-22T13:30:00","date_gmt":"2020-09-22T17:30:00","guid":{"rendered":"https:\/\/www.shortform.com\/blog\/?p=15131"},"modified":"2020-10-12T12:15:37","modified_gmt":"2020-10-12T16:15:37","slug":"anti-nmda-receptor-encephalitis-clock-test","status":"publish","type":"post","link":"https:\/\/www.shortform.com\/blog\/anti-nmda-receptor-encephalitis-clock-test\/","title":{"rendered":"The Anti NMDA Receptor Encephalitis Clock Test"},"content":{"rendered":"\n<p>What is the anti NMDA receptor encephalitis clock test? How did it help diagnose Susannah Cahalan?<\/p>\n\n\n\n<p>The anti NMDA receptor encephalitis clock test is used to diagnose the condition. Patients can&#8217;t properly draw a clock face due to the inflammation in their brains.<\/p>\n\n\n\n<p>Read about the use of the anti NMDA receptor encephalitis clock test and how it helped diagnose Susannah Cahalan. <\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Trying Every Test<\/h2>\n\n\n\n<p>Before the anti NMDA receptor encephalitis clock test, doctors had tried many things. The IVIG injections aren\u2019t working. The situation continues to go downhill. Susannah\u2019s chewing motions, staring episodes, and zombie arm movements become more frequent, even as every test comes back negative. <\/p>\n\n\n\n<p>Dr. Siegel is no longer on the case, and <a href=\"https:\/\/www.shortform.com\/blog\/souhel-najjar\/\">Dr. Najjar<\/a> hasn\u2019t even shown up. The mysterious Dr. Najjar finally shows up, to the excitement of Susannah\u2019s family. Dr. Najjar is the one who suggests the anti NMDA receptor encephalitis clock test.<\/p>\n\n\n\n<p>His bedside manner is personal and heartfelt. Explaining that <strong>in order to see the future, it\u2019s necessary to look backward<\/strong>, he asks Susannah\u2019s parents for a full medical history. He particularly notes symptoms the other doctors hadn\u2019t explored: her bedbug phobia, numbness and tingling in her hands, her faster heart rate. He addresses Susannah directly, as if he\u2019s speaking with a friend rather than a patient.<\/p>\n\n\n\n<p>Najjar begins a series of bedside tests before suggesting the anti NMDA receptor encephalitis clock test. Susannah responds monosyllabically, with a significant lisp. Her reflexes are bad, her pupils don\u2019t constrict properly, and she can\u2019t touch her hand to her nose. She walks stiffly, with delays between steps, angling toward her left side. He concludes that she\u2019s hellishly catatonic.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The Anti NMDA Receptor Encephalitis Clock Test<\/h3>\n\n\n\n<p>But then he has an idea: the anti-NMDA-receptor enecephalitis clock test. Ripping a sheet of paper from his notebook, he hands it to Susannah and asks her to draw a clock. At first, Susannah can\u2019t draw a circle and has to ask for another sheet of paper. She draws a circle and outlines it three times. Then Najjar asks her to fill in the numbers.<\/p>\n\n\n\n<p>Susannah desperately tries to remember what a clock looks like. She begins writing the numbers down, getting stuck on one, drawing another several times. Finally, she gets them all filled in.<\/p>\n\n\n\n<p>The sight of Susannah\u2019s drawing from the anti NMDA receptor encephalitis clock test makes Najjar so ecstatic that he nearly applauds. Susannah\u2019s parents stare at him in confusion: Susannah has squished all the numbers into the right side of the circle. The left side is completely blank. Najjar explains to them that Susannah\u2019s test provides concrete evidence that the right side of her brain is inflamed.<\/p>\n\n\n\n<p>In the brain, the right hemisphere is responsible for the left field of vision, and the left hemisphere is responsible for the right field of vision. When the right hemisphere is impaired, the patient will not \u201csee\u201d on the left side.&nbsp;<\/p>\n\n\n\n<p>This is not to say that the patient is blind on the left side. The left eye is still receiving visual information and sending it to the right hemisphere to process, but the right hemisphere can\u2019t process it correctly. Doctors call this \u201cvisual indifference,\u201d as if the right side of the brain just doesn\u2019t care about the left side of the world.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is the anti NMDA receptor encephalitis clock test? How did it help diagnose Susannah Cahalan? The anti NMDA receptor encephalitis clock test is used to diagnose the condition. Patients can&#8217;t properly draw a clock face due to the inflammation in their brains. Read about the use of the anti NMDA receptor encephalitis clock test and how it helped diagnose Susannah Cahalan.<\/p>\n","protected":false},"author":6,"featured_media":15286,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[16,9],"tags":[130],"class_list":["post-15131","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-psychology","tag-brain-on-fire","","tg-column-two"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v24.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Anti NMDA Receptor Encephalitis Clock Test - Shortform Books<\/title>\n<meta name=\"description\" content=\"The anti NMDA receptor encephalitis clock test was the tool that finally gave Susannah a diagnosis. 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