In our earlier description of this complex movement disorder we reported the presence of variable, complex, jerky semi rhythmic bulbar and limb movements, associated with posturing and oculogyric crises, but in summarising the overall clinical syndrome we deliberately avoided conventional movement disorder terms because none captured the entire clinical picture (2). Classification of a movement disorder, particularly when complex, is guided by the most obvious, dominant or overwhelming clinical feature. The ‘classical’ movement disorder in NMDAR AbE is complex but as acknowledged by the expert reviewers, is not typical of any of the movement disorder categories (1).
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