THE ONSET OF DEMENTIA THROUGH THE COTARD SYNDROME - THE DELIRIUM OF NEGATION

Cristina Darie, D. Iliescu, Sorin Ungurianu, A. Ciubară
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Abstract

ICD-10 (The ICD-10 Classification of Mental and Behavioral Disorders. Clinical description and diagnostic guidelines) Introduction. Cotard syndrome is a neuropsychiatric pathology that is uncommon in medical practice but has a significant impact on public awareness of the importance of mental health. This mental disorder is also known as negation delirium, living dead syndrome, nihilistic delirium, or walking corpse syndrome. Objectives. A clinical case of a patient diagnosed with dementia due to late-onset Alzheimer's disease is presented; dementia also includes symptoms of Cotard's syndrome. Over time, the transmission of knowledge and data about Cotard Syndrome, despite its very low frequency, has become a pathology that intrigues and inspires curiosity among individuals. Consciousness of the existence of this delirious illness and the accurate definition of the symptoms of a dual diagnosis are required in a number of psychiatric pathologies. Method. This document was created using the "Elisabeta Doamna" psychiatry hospital Database from Galati, Romania, where patient data was acquired and admitted to the Psychiatry Clinic Section II. In addition, a variety of bibliographical references and diagnostic criteria were utilized, including the ICD-10 (the Classification of Mental and Behavioral Disorders, Clinical Description, and Diagnostic Guidelines), the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders), and the psychometric tests: the MMSE (the Mini Mental Status Test) and the GAFS (the Global Functioning Assessment Scale). Results and Conclusions Despite having no psychiatric history, the patient arrived at the psychiatric hospital after experiencing psychiatric symptoms caused by both Alzheimer's disease and Cotard's syndrome, symptoms that were ignored and gradually deteriorated, resulting in full-blown delirium, rapid dementia degradation, and a not-very-favorable outlook.
痴呆症的发作通过科塔综合征-否定的谵妄
ICD-10精神和行为障碍分类。临床描述和诊断指南)科塔尔综合征是一种神经精神病理学,在医疗实践中并不常见,但对公众意识到心理健康的重要性产生了重大影响。这种精神障碍也被称为否定性谵妄,活死人综合症,虚无性谵妄,或行走的尸体综合症。目标。临床病例的患者诊断为痴呆由于晚发性阿尔茨海默病是提出;痴呆症还包括科塔尔综合症的症状。随着时间的推移,关于科塔尔综合症的知识和数据的传播,尽管它的频率很低,但已经成为一种引起人们兴趣和好奇心的病理。意识到这种精神错乱疾病的存在和双重诊断症状的准确定义是许多精神病理学所必需的。方法。该文件是利用罗马尼亚加拉蒂的"Elisabeta Doamna"精神病医院数据库创建的,在该数据库中获取了患者数据并将其纳入精神病诊所第二科。此外,还使用了各种参考书目和诊断标准,包括ICD-10(精神和行为障碍分类、临床描述和诊断指南)、DSM-5(精神障碍诊断和统计手册)和心理测量测试:MMSE(迷你精神状态测试)和GAFS(全球功能评估量表)。结果与结论患者虽无精神病史,但在出现阿尔茨海默病和科塔尔综合征两种精神症状后,患者被忽视并逐渐恶化,出现全面谵妄,痴呆迅速退化,预后不佳。
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