Quiste aracnoideo (Galassi Tipo II) y síntomas neuropsiquiátricos: a propósito de un caso.

Q4 Medicine

Revista Chilena de Neuro-Psiquiatria Pub Date : 2022-03-01 DOI:10.4067/s0717-92272022000100116

Jesús Amador L., Sandra González A., Lorys Osses, Alvino De León, G. González

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引用次数: 0

Abstract

Introduction: an arachnoid cyst is caused by the alteration of one of the membranes of the meninges (arachnoid), predominantly in the middle cranial fossa; It is an uncommon pathology that causes symptoms and if they occur, neuropsychiatric manifestations may take place. Objective: expose the clinical data; and the diagnostic and therapeutic methodology. Case: we present a 24-year-old female patient; with no personal history of psychiatric and known non-psychiatric medical records, whom presents a story with a month of evolution of psychotic symptoms and behavioral changes. A simple cerebral CAT was performed and then a cerebral magnetic resonance imaging with contrast to define the size of the arachnoid cyst, due to the possible neuropsychiatric symptoms found. Through laboratory tests, electrophysiological studies (electroencephalogram), neuroimaging and clinical evaluation. It was decided to present the clinical characteristics of the patient who required management with antipsychotics, benzodiazepines and mood stabilizer with gradual improvement of her admission symptoms (psychomotor agitation and psychosis)

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蛛网膜囊肿（Galassi II型）和神经精神症状：一例。

导言:蛛网膜囊肿是由脑膜(蛛网膜)的其中一层膜改变引起的，主要发生在中颅窝;这是一种罕见的病理症状，如果出现症状，可能会出现神经精神表现。目的:公开临床资料;以及诊断和治疗方法。病例:我们报告一名24岁的女性患者;无精神病史和已知的非精神病史记录，呈现一个月精神病症状演变和行为改变的故事。由于发现了可能的神经精神症状，我们先进行了简单的脑部CAT检查，然后进行了脑磁共振造影，以确定蛛网膜囊肿的大小。通过实验室测试、电生理研究(脑电图)、神经影像学和临床评估。该患者入院时症状(精神运动性躁动和精神病)逐渐改善，需要抗精神病药物、苯二氮卓类药物和情绪稳定剂治疗，现决定呈现该患者的临床特征。

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来源期刊

Revista Chilena de Neuro-Psiquiatria Medicine-Surgery

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： La Revista Chilena de Neuro-psychiatry was established in 1947 and belongs to the Society of Neurology, Neurosurgery and Psychiatry, Chile (SONEPSYN), of which his body of scientific expression. The financial management of the magazine conducted the directory SONEPSYN. The editorial management is delegated to an editor and editorial committee, who have full freedom and independence in this area. Is a quarterly publication. The journal publishes original articles and unpublished covering basic and clinical aspects of the three specialties with ethics, medical education, physician-patient relationship, care management, public health, epidemiology, sociology and medical profession.