Sergio Ciria Villar, Camino Pérez Pemán, Pablo Ortega López-Alvarado
{"title":"抗NMDA受体抗体引起的脑炎:关于一个病例","authors":"Sergio Ciria Villar, Camino Pérez Pemán, Pablo Ortega López-Alvarado","doi":"10.1016/j.psiq.2021.100316","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this article is to outline the importance of carrying out a complete organic study when encountering a first psychotic episode by means of a case report showing a diagnosis of anti-NMDA receptor encephalitis.</p></div><div><h3>Case report</h3><p>A 35 year-old male, presented without a significant psychiatric history, starts to suffer from severe psychotic symptoms such as hallucinations and behavioural problems. The patient was on the lookout for a study of a syncope with secondary traumatic brain injury experienced one month prior to the beginning of the symptoms. Finally, the patient was diagnosed with anti-NMDAR encephalitis, showing symptom improvement with this immunosuppressive treatment.</p></div><div><h3>Results</h3><p>The approach from a neurological perspective has been of outmost importance in order to improve the aforementioned severe psychotic symptoms.</p></div><div><h3>Conclusions</h3><p>A close cooperation between the Psychiatry and Neurology departments is needed when encountering a first psychotic episode.</p></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Encefalitis por anticuerpos contra el receptor NMDA: a propósito de un caso\",\"authors\":\"Sergio Ciria Villar, Camino Pérez Pemán, Pablo Ortega López-Alvarado\",\"doi\":\"10.1016/j.psiq.2021.100316\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>The aim of this article is to outline the importance of carrying out a complete organic study when encountering a first psychotic episode by means of a case report showing a diagnosis of anti-NMDA receptor encephalitis.</p></div><div><h3>Case report</h3><p>A 35 year-old male, presented without a significant psychiatric history, starts to suffer from severe psychotic symptoms such as hallucinations and behavioural problems. The patient was on the lookout for a study of a syncope with secondary traumatic brain injury experienced one month prior to the beginning of the symptoms. Finally, the patient was diagnosed with anti-NMDAR encephalitis, showing symptom improvement with this immunosuppressive treatment.</p></div><div><h3>Results</h3><p>The approach from a neurological perspective has been of outmost importance in order to improve the aforementioned severe psychotic symptoms.</p></div><div><h3>Conclusions</h3><p>A close cooperation between the Psychiatry and Neurology departments is needed when encountering a first psychotic episode.</p></div>\",\"PeriodicalId\":39337,\"journal\":{\"name\":\"Psiquiatria Biologica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psiquiatria Biologica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1134593421000257\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psiquiatria Biologica","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1134593421000257","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Encefalitis por anticuerpos contra el receptor NMDA: a propósito de un caso
Objective
The aim of this article is to outline the importance of carrying out a complete organic study when encountering a first psychotic episode by means of a case report showing a diagnosis of anti-NMDA receptor encephalitis.
Case report
A 35 year-old male, presented without a significant psychiatric history, starts to suffer from severe psychotic symptoms such as hallucinations and behavioural problems. The patient was on the lookout for a study of a syncope with secondary traumatic brain injury experienced one month prior to the beginning of the symptoms. Finally, the patient was diagnosed with anti-NMDAR encephalitis, showing symptom improvement with this immunosuppressive treatment.
Results
The approach from a neurological perspective has been of outmost importance in order to improve the aforementioned severe psychotic symptoms.
Conclusions
A close cooperation between the Psychiatry and Neurology departments is needed when encountering a first psychotic episode.
期刊介绍：
Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.
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