The awareness and understanding of autoimmune encephalitis are blossoming in neurology, and patients are being diagnosed and successfully treated with immunotherapy. The diverse symptomatology associated with autoimmune encephalitis means that patients may present initially to mental health services, which are, as yet, less well equipped to identify and investigate such phenomena. Older adult mental health services are used to managing complexity, but the range of pathologies presenting with unusual symptoms that may mimic autoimmune encephalitis is wide and there is no clear guidance as to when and how to investigate for possible autoimmune encephalitis. This paper examines the evidence supporting investigation and management strategies for patients with possible autoimmune encephalitis presenting to older adult psychiatrists.

中文翻译：

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老年人自身免疫性脑炎：测试谁以及测试什么。

神经病学界对自身免疫性脑炎的认识和理解正在蓬勃发展，患者正在接受免疫疗法的诊断和成功治疗。与自身免疫性脑炎相关的多种症状意味着患者最初可能会就诊于心理健康服务机构，而这些服务机构迄今为止还没有足够的能力来识别和调查此类现象。老年人心理健康服务习惯于管理复杂性，但表现出可能模仿自身免疫性脑炎的异常症状的病理范围很广，并且对于何时以及如何调查可能的自身免疫性脑炎没有明确的指导。本文探讨了支持向老年精神科医生就诊的可能患有自身免疫性脑炎的患者进行调查和管理策略的证据。