Psiquiatria Biologica最新文献

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Conducta suicida en interconsulta: Comparación entre pacientes mayores y menores de 65 años 咨询期间的自杀行为:老年人与65岁以下患者的比较
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100552
Jesús Ángel Monforte Porto, Alberto de Vega Martín, Marisol Asperilla Gallardo
{"title":"Conducta suicida en interconsulta: Comparación entre pacientes mayores y menores de 65 años","authors":"Jesús Ángel Monforte Porto,&nbsp;Alberto de Vega Martín,&nbsp;Marisol Asperilla Gallardo","doi":"10.1016/j.psiq.2024.100552","DOIUrl":"10.1016/j.psiq.2024.100552","url":null,"abstract":"<div><div>The aim of this study is to determine the sociodemographic, clinical and health care characteristics of the demands for suicidal ideation/attempt in relation to the elderly population versus those under 65 years of age in psychiatric interconsultation. The results show that the mean length of stay is longer in the older population. Regarding discharge referral, admissions to psychiatric hospitalization units predominated in the younger population, as well as referral to mental health facilities. In the population over 65 years of age, referral to primary care facilities and higher mortality predominate.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100552"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consumo de sustancias ilícitas y suicidio consumado desde una perspectiva de género 从性别角度看非法药物使用和自杀
Psiquiatria Biologica Pub Date : 2024-12-01 DOI: 10.1016/j.psiq.2024.100555
Miguel Zacarías Pérez Sosa, Diego de la Vega Sánchez
{"title":"Consumo de sustancias ilícitas y suicidio consumado desde una perspectiva de género","authors":"Miguel Zacarías Pérez Sosa,&nbsp;Diego de la Vega Sánchez","doi":"10.1016/j.psiq.2024.100555","DOIUrl":"10.1016/j.psiq.2024.100555","url":null,"abstract":"<div><div>The literature indicates that being female, smoking tobacco, having a history of physical and sexual abuse, suffering from depression, and alcohol and cannabis use are associated with suicidal ideation. If cocaine, amphetamines and/or multiple substance abuse are also consumed, there is a significant association with suicide attempts. However, there are few studies that analyze substance use in women who die by suicide. Although different studies relate substance use to completed suicide in women, especially alcohol use, it is debated whether the presence of other psychiatric disorders, in addition to substance use, could partially explain the associations between substance use and suicide in women; therefore, the aim of this study is to investigate whether the use of the main illicit substances is a risk factor for death by completed suicide in women. In this sample of women, the use of major illicit substances does not appear to be a risk factor for completed suicide.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"31 ","pages":"Article 100555"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143103998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decoding a case of pica: The path to a difficult diagnosis 解读异食癖病例:通往艰难诊断的道路
Psiquiatria Biologica Pub Date : 2024-11-30 DOI: 10.1016/j.psiq.2024.100550
Ignacio Ramos Suárez , Margarita Guerrero Jiménez
{"title":"Decoding a case of pica: The path to a difficult diagnosis","authors":"Ignacio Ramos Suárez ,&nbsp;Margarita Guerrero Jiménez","doi":"10.1016/j.psiq.2024.100550","DOIUrl":"10.1016/j.psiq.2024.100550","url":null,"abstract":"<div><div>Pica, a disorder characterized by the ingestion of non-food substances, is typically associated with psychiatric conditions but can also indicate underlying neurological disorders.</div><div>This report, details the case of a 61-year-old woman with a history of histrionic personality disorder and generalized anxiety disorder who developed severe pica, ingesting objects such as screws and jewelry. Initial psychiatric evaluations did not reveal a clear explanation for her behavior. However, further investigation identified significant cognitive decline, gait disturbances, and urinary incontinence—symptoms indicative of adult chronic hydrocephalus (ACH). A cranial CT scan confirmed ventricular dilation, leading to an ACH diagnosis. Pica disorder is often linked to frontal lobe dysfunction, common in ACH.</div><div>This case emphasizes the necessity of interdisciplinary collaboration between psychiatry and neurology to ensure accurate diagnosis and effective treatment, improving outcomes for patients whose psychiatric symptoms may mask an underlying neurological condition.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100550"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Huntington latente desenmascarado por aripiprazol 阿立哌唑暴露的亨廷顿潜伏期
Psiquiatria Biologica Pub Date : 2024-11-26 DOI: 10.1016/j.psiq.2024.100549
Elena Blanco-Martin, Maria Nieto-Compán, Jorge López-Álvarez
{"title":"Huntington latente desenmascarado por aripiprazol","authors":"Elena Blanco-Martin,&nbsp;Maria Nieto-Compán,&nbsp;Jorge López-Álvarez","doi":"10.1016/j.psiq.2024.100549","DOIUrl":"10.1016/j.psiq.2024.100549","url":null,"abstract":"<div><div>Huntington's disease is an inherited neurodegenerative disorder whose symptoms include movement disorders, cognitive impairment, and psychiatric symptoms, and usually appear between the ages of 30 and 50. We present the case of a 31-year-old woman admitted to Psychiatry for the first time due to a depressive episode with suicidal ideation. Previously evaluated by Neurology without a clear diagnosis, due to movement alterations, stereotypies and motor incoordination. The presence of motor symptoms during admission led to an interconsultation with the Neurology Department. Extrapyramidal syndrome was diagnosed and Huntington's disease was suspected, later confirmed by genetic studies. After adjusting the medication and eliminating aripiprazole, depressive and motor symptoms improved. This case highlights the importance of considering neurodegenerative diseases when psychiatric, motor, and cognitive symptoms are present simultaneously. In addition, it shows how the side effects of drugs can unmask latent diseases.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100549"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The MCOSUL cohort: Lethality, recurrence, and mortality in suicide attempts in the Lérida Region, Spain—Rationale, objectives, and preliminary findings mccosul队列研究:西班牙lsamrida地区自杀企图的致死率、复发率和死亡率——基本原理、目的和初步调查结果
Psiquiatria Biologica Pub Date : 2024-11-26 DOI: 10.1016/j.psiq.2024.100548
María Irigoyen-Otiñano , Vicent Llorca-Bofí , Marina Adrados-Pérez , Laura Arenas-Pijoan , Eugènia Nicolau-Subires , Carla Albert-Porcar , Lucía Ibarra-Pertusa , Margarita Puigdevall-Ruestes
{"title":"The MCOSUL cohort: Lethality, recurrence, and mortality in suicide attempts in the Lérida Region, Spain—Rationale, objectives, and preliminary findings","authors":"María Irigoyen-Otiñano ,&nbsp;Vicent Llorca-Bofí ,&nbsp;Marina Adrados-Pérez ,&nbsp;Laura Arenas-Pijoan ,&nbsp;Eugènia Nicolau-Subires ,&nbsp;Carla Albert-Porcar ,&nbsp;Lucía Ibarra-Pertusa ,&nbsp;Margarita Puigdevall-Ruestes","doi":"10.1016/j.psiq.2024.100548","DOIUrl":"10.1016/j.psiq.2024.100548","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Suicide is a major global health issue with profound impacts on individuals, families, and societies. Understanding the factors that influence the lethality of suicide attempts, the frequency of reattempts, ultimate causes of death, and associated immune biomarkers is crucial for developing effective prevention strategies. This article outlines the rationale, objectives, and protocol of a new cohort study, presenting preliminary descriptive results.</div></div><div><h3>Methods</h3><div>We designed a prospective, naturalistic cohort study involving patients from the Arnau de Vilanova and Santa Maria University Hospitals in Lleida, Spain. Participants are recruited following a suicide attempt and are monitored over time. Data on clinical assessments, suicidal methods, somatic lethality, immune biomarkers, reattempts, and causes of death are collected and analyzed. The cohort continues to recruit patients and update follow-up data.</div></div><div><h3>Results</h3><div>Currently, the cohort includes 1918 patients. The majority of participants are females (62.8%) with an average age of 41.2 years. The average follow-up period is 77.6 months. Sedative poisoning is the most common method of suicide attempt (57.3%). High lethality attempts predominate (76.7%), and 43.4% of patients have reattempted suicide. During follow-up, 5.5% of patients died, with 2.1% of deaths attributed to suicide.</div></div><div><h3>Conclusion</h3><div>The findings from this study are expected to enhance our understanding of the relationships between suicide lethality, reattempts, mortality, and immune biomarkers. This knowledge may help to personalize interventions aimed at reducing suicide rates and improving outcomes for individuals at high risk.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100548"},"PeriodicalIF":0.0,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of stimulant medications on immunity in the treatment of attention deficit hyperactivity disorder 兴奋剂治疗注意缺陷多动障碍对免疫的影响
Psiquiatria Biologica Pub Date : 2024-11-23 DOI: 10.1016/j.psiq.2024.100546
Alberto Rodríguez-Quiroga , Miriam Akasbi Montalvo , Miguel Ángel Álvarez-Mon González , Fernando Mora Mínguez , Javier Quintero Gutiérrez del Álamo
{"title":"Effect of stimulant medications on immunity in the treatment of attention deficit hyperactivity disorder","authors":"Alberto Rodríguez-Quiroga ,&nbsp;Miriam Akasbi Montalvo ,&nbsp;Miguel Ángel Álvarez-Mon González ,&nbsp;Fernando Mora Mínguez ,&nbsp;Javier Quintero Gutiérrez del Álamo","doi":"10.1016/j.psiq.2024.100546","DOIUrl":"10.1016/j.psiq.2024.100546","url":null,"abstract":"<div><h3>Background</h3><div>Research suggests a potential link between attention deficit hyperactivity disorder (ADHD) and the immune system, with higher rates of allergic conditions observed in ADHD patients. Altered levels of cytokines, crucial immune signaling molecules, are also associated with ADHD, and stimulant medications may modulate immune activity.</div></div><div><h3>Objective</h3><div>The objective is to raise awareness of the intricate relationship between ADHD and the immune system, shedding light on its potential implications for treatment and management strategies.</div></div><div><h3>Material and methods</h3><div>Descriptive study of the case report type based on the case report guidelines.</div></div><div><h3>Case description</h3><div>A 41-year-old male with systemic lupus erythematosus (SLE) was referred for anxiety symptoms. His medical history included SLE diagnosis and chronic steroid therapy. He reported inconsistent attention, difficulty in task planning and organization, restlessness, and impulsivity. Comprehensive assessment confirmed ADHD diagnosis. He was prescribed melatonin, vortioxetine, and methylphenidate, which significantly improved his symptoms. SLE antibody levels decreased with treatment.</div></div><div><h3>Conclusion</h3><div>The detection of ADHD and specific treatment with stimulants not only improved his symptoms but also led to a decrease in SLE antibodies and an enhancement in quality of life for the patient.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100546"},"PeriodicalIF":0.0,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First experiences with esketamine nasal spray in patients with moderate and severe treatment-resistant depression 艾氯胺酮鼻腔喷雾剂治疗中度和重度难治性抑郁症的首次经验
Psiquiatria Biologica Pub Date : 2024-11-23 DOI: 10.1016/j.psiq.2024.100547
José Miguel Meca García, María Teresa Perní Lasala, María Beret Trancón, Ricardo Jesús Lara Mellado, Antonio José Ureña Caballero, Raquel Fernández Villalobos, José Enrique Romero Baca
{"title":"First experiences with esketamine nasal spray in patients with moderate and severe treatment-resistant depression","authors":"José Miguel Meca García,&nbsp;María Teresa Perní Lasala,&nbsp;María Beret Trancón,&nbsp;Ricardo Jesús Lara Mellado,&nbsp;Antonio José Ureña Caballero,&nbsp;Raquel Fernández Villalobos,&nbsp;José Enrique Romero Baca","doi":"10.1016/j.psiq.2024.100547","DOIUrl":"10.1016/j.psiq.2024.100547","url":null,"abstract":"<div><div>We report 4 cases of female patients with treatment-resistant depression treated with intranasal esketamine. The age of 2 patients were over 50, with only 1 patient in their 20s. The time course of the disease episode ranged from 2 to 4 years, 2 of the cases had psychiatric comorbidity, the time of administration in the patients who completed treatment ranged from 31 to 41 weeks with a discontinuation of treatment due to non-serious but intolerable side effects for one of the patients at 12 weeks. Oral treatment was not substantially modified, with the only notable change being the almost complete withdrawal of benzodiazepines in some cases. The results were satisfactory, with clinical improvement evident in the clinical assessment and in the scales, with 2 patients in complete remission and another in partial remission. Two of these patients returned to work.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tamizaje del trastorno por déficit de atención e hiperactividad (TDAH) en pacientes hospitalizados por farmacodependencia en una unidad de salud mental en Barranquilla, Colombia 在哥伦比亚巴兰基利亚的一个精神卫生单位,对因药物依赖而住院的患者进行注意缺陷/多动障碍(ADHD)筛查
Psiquiatria Biologica Pub Date : 2024-11-21 DOI: 10.1016/j.psiq.2024.100544
Natalia Gutierrez-Marchena , Anderson David Padilla-Menco , Dania Lucía Ruiz-Plaza
{"title":"Tamizaje del trastorno por déficit de atención e hiperactividad (TDAH) en pacientes hospitalizados por farmacodependencia en una unidad de salud mental en Barranquilla, Colombia","authors":"Natalia Gutierrez-Marchena ,&nbsp;Anderson David Padilla-Menco ,&nbsp;Dania Lucía Ruiz-Plaza","doi":"10.1016/j.psiq.2024.100544","DOIUrl":"10.1016/j.psiq.2024.100544","url":null,"abstract":"<div><div>Attention Deficit Hyperactivity Disorder (ADHD) is considered a neurodevelopmental disorder that typically presents in childhood and can continue into adulthood. Mainly affects three areas given by attention, impulse control, and hyperactivity, which end up affecting the psychosocial development, interpersonal relationships, and academic level of the subject. The prevalence varies depending on age group, sex, and location; however, it is estimated at 7% overall in the pediatric population and 4.5% in adults. ADHD symptoms have been found to predict tobacco, alcohol, and cannabis use; and additionally, if left untreated, it is estimated that up to 50% of people with ADHD will manifest a substance use disorder at some point in their lives, however there are no data on such comorbidity in our population, so we consider necessary to determine the prevalence of ADHD in the population hospitalized for Substance Use Disorder (SUD) in the mental health institution through screening with self-report scales. Here we report the sociodemographic characterization, drug use pattern and comorbidities of this population, as well as the result of screening with the Wender Utah Scale (WURS-25) and Adult ADHD Self Report Scale (ASRS V1.1). The study included a total of 74 subjects who were hospitalized in a mental health institution located in Barranquilla, Colombia, with a diagnosis of SUD. It was found that 50% of patients scored positive for ADHD diagnosis according to the ASRS scale, probable diagnosis 20.3% and unlikely 29.7%, with 44.6% positive on the WURS-25 scale. The results of the present study suggest that screening for ADHD is a useful tool to detect comorbidity in patients with SUD, who could benefit from comprehensive treatment for both pathologies and thus impact the course and prognosis of the disease, as well as their functionality and quality of life.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100544"},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnóstico diferencial del mutismo selectivo a través de un caso clínico 通过临床病例对选择性沉默进行鉴别诊断
Psiquiatria Biologica Pub Date : 2024-11-19 DOI: 10.1016/j.psiq.2024.100543
Sandra Puyal González , Carlos-Luis Ortiz Sánchez-Expósito , Almudena Escudero González
{"title":"Diagnóstico diferencial del mutismo selectivo a través de un caso clínico","authors":"Sandra Puyal González ,&nbsp;Carlos-Luis Ortiz Sánchez-Expósito ,&nbsp;Almudena Escudero González","doi":"10.1016/j.psiq.2024.100543","DOIUrl":"10.1016/j.psiq.2024.100543","url":null,"abstract":"<div><div>Selective mutism consists of a consistent failure to speak in specific social conditions in which there is an expectation to communicate. It produces a decrease in functionality in several areas of life.</div><div>The case of a 26-year-old woman with mutist symptoms since childhood is presented. The main objective of this article is to carry out a review of selective mutism and the different disorders that can encompass these symptoms, presenting the different diagnosis between anxiety disorder including social anxiety or social phobia, avoidant personality disorder or autism spectrum disorder.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100543"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Encefalitis autoinmune por anticuerpos antirreceptor de NMDA: a propósito de un caso NMDA受体抗体引起的自身免疫性脑炎:以一个病例为例
Psiquiatria Biologica Pub Date : 2024-11-16 DOI: 10.1016/j.psiq.2024.100541
Vanessa Gladys Velasquez Acebey, Maite Sellart Altisent
{"title":"Encefalitis autoinmune por anticuerpos antirreceptor de NMDA: a propósito de un caso","authors":"Vanessa Gladys Velasquez Acebey,&nbsp;Maite Sellart Altisent","doi":"10.1016/j.psiq.2024.100541","DOIUrl":"10.1016/j.psiq.2024.100541","url":null,"abstract":"<div><h3>Introduction</h3><div>Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is the most common form of autoimmune encephalitis. It usually begins with psychiatric symptoms and heterogeneous manifestations that make diagnosis challenging, thereby delaying appropriate treatment. It is crucial to be aware of this condition and to consider it for exclusion in cases of atypical first psychotic episodes.</div></div><div><h3>Clinical findings and diagnosis</h3><div>We present the case of a 28-year-old woman who visited the emergency room five times over 12 days due to generalized tonic–clonic seizures, accompanied by psychotic symptoms. She was initially diagnosed with a conversion disorder at two general hospitals before being referred for urgent psychiatric admission. A neurology consultation revealed positive anti-NMDA antibodies (1:16) in cerebrospinal fluid (CSF), leading to the diagnosis of anti-NMDAR encephalitis. A gynecology consultation subsequently detected a left ovarian teratoma.</div></div><div><h3>Conclusions</h3><div>In the event of a first psychotic episode with additional neurological symptoms or poor evolution, encephalitis should be excluded. In some cases, magnetic resonance imaging (MRI) and electroencephalographic (EEG) patterns may be normal, making CSF analysis essential. Given the strong association of tumors with anti-NMDAR encephalitis, particularly ovarian teratomas in young women, good coordination between services is critical for early diagnosis and treatment.</div></div>","PeriodicalId":39337,"journal":{"name":"Psiquiatria Biologica","volume":"32 2","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143136935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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