There was a predominance of onset in May and June ( Figure 1B ), although this did not reach statistical significance (circular direction would aim at May 24, Z = 1.80, p < 0.20; eFigure 1, links.lww.com/NXI/A674 ); Exploring patients with anti-NMDAR encephalitis without known trigger (no HSV, nor paraneoplastic origin), a tendency toward seasonal variance was seen, pointing toward May (circular direction May 11, Z = 2.55, p < 0.10).
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Anti-NMDAR Encephalitis in the Netherlands, Focusing on Late-Onset Patients and Antibody Test Accuracy.
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