UNASSIGNED: Autoimmune encephalitis refers to a group of diseases characterized by the presence of antibodies that directly attack receptors on the neuron surface and are associated with cognitive and behavioral disorders. Alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid (AMPA) receptor autoimmune encephalitis is very rare and has been reported in only a few individual cases, with little clinical experience.
UNASSIGNED: We describe the clinical manifestation and disease course of the first diagnosed case of anti-AMPA receptor encephalitis at the Neurology Department of Children\'s Hospital 2 in November 2020. A previously healthy 10-year-old presented with symptoms over 2 periods. During each period, the patient presented with multiple focal seizures, a cognitive-behavioral disorder, and amnesia. The brain magnetic resonance imaging (MRI) results were persistently normal. Electroencephalography (EEG) recorded many focal spikes and spike waves. Antibodies against N-methyl D-aspartate (NMDA) were not detected. Antibodies against AMPA receptors were detected in the serum and cerebrospinal fluid using an indirect fluorescent antibody test. This patient was treated with immunotherapy, including methylprednisolone and intravenous immunoglobulin (IVIG), and antiepileptic drugs, such as oxcarbazepine, topiramate, and levetiracetam. The seizures were controlled, but the cognitive-behavioral disorder was only partially resolved.
UNASSIGNED: This case report contributes to the clinical understanding of anti-AMPA receptor encephalitis disease manifestation, the response to the immunotherapy, and relapse.

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Glyphosate is the main herbicide used in soybean crops, and Brazil is one of the major soybean producers around the world. GLY and AMPA were evaluated in 124 surface waters samples of twenty one micro basins in Paraná Basin 3 (State of Parana, Brazil) over six subsequent weeks. A simple and economical routine methodology was established, based on lyophilization as a pre-concentration method. The validated method showed a limit of detection of 0.0125 and 0.025 µg L-1 for GLY and AMPA, respectively. In general, water samples presented concentrations ranging from 0.31 to 1.65 μg L-1 for GLY. Those values are below the maximum allowed amounts in Brazilian Law (65 μg L-1). The AMPA values were found in the range from 0.50 to 1.40 μg L-1. In summary, GLY was detected in 19.3% and it was quantified in 17.7% of the samples. AMPA was detected in 21.8% and it was quantified in 1.6% of the samples. Although samples did not present values higher than the established by Brazilian Law, GLY and AMPA appear constantly in the samples, which highlight the importance of monitoring studies in watersheds.

A novel method was developed for the analysis of the herbicide glyphosate and its main metabolite aminomethylphosphonic acid (AMPA) based on lyophilization. Sample preparation steps are limited to fortification with aspartic acid as internal standard and water removal by lyophilization (3-4 days for 72 samples), followed by suspension of dry residues in borate buffer (pH=9.0) and addition of ethylenediaminetetraacetic acid (EDTA) and 9-fluorenylmethylchloroformate (FMOC-Cl) for pre-column derivatization. The obtained derivatization mixture was injected on a highly endcapped C18 column where a basic pH gradient separation of the anionic analytes from neutral derivatization byproducts was achieved, with simultaneous quantitation by fluorescence and compound confirmation by tandem mass spectrometry. Method detection limits (for 20 mL samples) were 0.058 μg/L and 0.108 μg/L for glyphosate and AMPA, respectively. The method had a high dynamic range (0.1-50.0 μg/L) which allowed quantitation at both background and high levels of the herbicide. As a case study, the methodology was successfully applied to detect the occurrence of these compounds in water canals managed by the South Florida Water Management District. These canals will be used as freshwater source to hydrate estuarine wetlands of Biscayne National Park under the Comprehensive Everglades Restoration Project, in order to decrease ecosystem stress from hypersaline conditions caused by anthropogenic reduction of historical freshwater flow towards the Biscayne Bay. Method development, validation, advantages, limitations and measured environmental concentrations are discussed. This methodology has minimal requirements in terms of materials, instruments and analyst training, which could represent a desirable tool for laboratories interested in the monitoring of glyphosate in surface waters.