Three Distinct Neuropsychiatric Syndromes Following Pineal Teratoma Resection.

IF 2.2 4区 医学 Q2 PEDIATRICS
Kyung Eun Paik, Nadia Zaim, Michelle Melicosta, Shannon Dean, William Ide, Nina Burruss, Aaron Hauptman
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引用次数: 0

Abstract

Introduction: Neuroleptic malignant syndrome (NMS), catatonia, and serotonin syndrome (SS) are unique neuropsychiatric conditions that share overlapping clinical features. Case Report: A 14-year-old boy presented to the hospital for surgical resection of a pineal gland teratoma. Following surgery, he developed cerebellar cognitive and affective syndrome, which led to dramatic behavioral changes, including suicidal behavior and agitation. Throughout his postsurgical course, he exhibited signs and symptoms concerning for overlapping NMS, catatonia, and SS. Discussion: Through this case we highlight the complex neurophysiology of three neuropsychiatric syndromes, review the treatment course for this patient, and raise awareness that these neuropsychiatric syndromes can occur concurrently.

松果体畸胎瘤切除术后的三种不同的神经精神综合征。
简介:抗精神病药恶性综合征(NMS)、紧张症和血清素综合征(SS)是独特的神经精神疾病,具有重叠的临床特征。病例报告:一名14岁男孩到医院接受手术切除松果体畸胎瘤。手术后,他患上了小脑认知和情感综合症,导致了剧烈的行为变化,包括自杀行为和躁动。在整个手术过程中,他表现出与NMS、紧张症和SS重叠的体征和症状。讨论:通过本病例,我们强调了三种神经精神综合征的复杂神经生理学,回顾了该患者的治疗过程,并提高了这些神经精神综合征可以同时发生的认识。
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来源期刊
CiteScore
3.60
自引率
5.30%
发文量
61
审稿时长
>12 weeks
期刊介绍: Journal of Child and Adolescent Psychopharmacology (JCAP) is the premier peer-reviewed journal covering the clinical aspects of treating this patient population with psychotropic medications including side effects and interactions, standard doses, and research on new and existing medications. The Journal includes information on related areas of medical sciences such as advances in developmental pharmacokinetics, developmental neuroscience, metabolism, nutrition, molecular genetics, and more. Journal of Child and Adolescent Psychopharmacology coverage includes: New drugs and treatment strategies including the use of psycho-stimulants, selective serotonin reuptake inhibitors, mood stabilizers, and atypical antipsychotics New developments in the diagnosis and treatment of ADHD, anxiety disorders, schizophrenia, autism spectrum disorders, bipolar disorder, eating disorders, along with other disorders Reports of common and rare Treatment Emergent Adverse Events (TEAEs) including: hyperprolactinemia, galactorrhea, weight gain/loss, metabolic syndrome, dyslipidemia, switching phenomena, sudden death, and the potential increase of suicide. Outcomes research.
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