抗NMDA受体抗体引起的脑炎:关于一个病例

Q4 Medicine

Psiquiatria Biologica Pub Date : 2021-05-01 DOI:10.1016/j.psiq.2021.100316

Sergio Ciria Villar, Camino Pérez Pemán, Pablo Ortega López-Alvarado

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引用次数: 0

摘要

目的本文的目的是概述在遇到第一次精神病发作时，通过一个病例报告进行完整的有机研究的重要性，该病例报告显示抗nmda受体脑炎的诊断。病例报告:一名35岁男性，没有明显的精神病史，开始出现严重的精神症状，如幻觉和行为问题。患者正在寻找一项研究晕厥与继发性创伤性脑损伤经历一个月前的症状开始。最后，患者被诊断为抗nmdar脑炎，这种免疫抑制治疗后症状有所改善。结果从神经学角度出发的方法对改善上述严重精神病症状具有重要意义。结论精神科和神经科在遇到首次精神病发作时应密切合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

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.

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来源期刊

Psiquiatria Biologica Medicine-Psychiatry and Mental Health

CiteScore

0.40

自引率

0.00%

发文量

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.