17 results
Conversion or inflammation?
- L. Rodriguez Rodriguez, M.J. Gordillo Montaño, S.V. Boned Torres
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
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- 01 September 2022, p. S702
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Introduction
Autoimmune encephalitis are inflammatory diseases of the CNS mediated by antibodies that attack neurotransmitter receptors or proteins on the surface of neurons, usually in the limbic system. The clinic is different according to the antineuronal Ac involved.
ObjectivesTo make a correct differential diagnosis between autoimmune encephalitis and primary psychiatric pathologies that may be similar in symptoms through a complete study of the patient including anamnesis, physical examination, imaging tests, cerebrospinal fluid and serum studies.
MethodsDescription of a clinical case. A 31-year-old female patient, with no previous history of interest, was brought to the emergency department for a suspected seizure. The previous days she had presented emotional lability, difficulty in concentration and reading, blurred vision, confusion and hemicranial headache. Two days later she returned to the emergency room for insomnia, dysarthria, difficulty in reading, comprehension, naming, and excessive rumination of her problems. Incoherent and repetitive language. The Emergency service requested to rule out a conversive disorder.
ResultsNeuropsychiatric manifestations (anxiety, depression, behavioral disturbances, insomnia, memory deficits, psychomotor agitation, mania, auditory and visual hallucinations, delusions) are the first symptom in 70% of autoimmune encephalitis due to anti-NMDA antibodies and usually respond poorly to psychiatric treatment, making the treatment of the primary cause necessary for the remission of these symptoms.
ConclusionsGiven their increasing recognition and prevalence, autoimmune causes should always be taken into account in behavioral changes, cognitive or consciousness impairment of subacute installation, especially in young patients and once infectious, metabolic and vascular causes have been ruled out with an appropriate complementary study.
DisclosureNo significant relationships.
Psycho-Covid
- M.J. Gordillo Montaño, S.V. Boned Torres, L. Rodriguez
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, p. S530
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Introduction
The COVID-19 pandemic generated a health emergency and led to the adoption of different measures, including home quarantine and social isolation, which, as we have seen, has had an impact on the mental health of the majority of citizens, with the possibility of psychiatric disorders appearing. in people without prior mental illness, such as acute decompensations in patients with known disorders, more vulnerable to environmental stressors.
ObjectivesLearn and rethink alarm signals in extreme situations such as the one experienced in recent months, as well as observe the impact, negative in many cases, but positive in others, of the patients we treat daily.
MethodsDescription through brief clinical cases of the impact of the COVID-19 pandemic on psychotic patients and the decompensation that it has entailed, including due to confinement measures and social isolation, associated with over-information through the media, chaos initial and the uncertainty that it caused and the associated fear.
ResultsRestrictions as a result of COVID-19 have played a very relevant role as an external stressor for the appearance of psychopathological alterations, including psychotic symptoms. In addition, people who suffer from psychosis or at risk of psychotic disorder can be especially affected and trigger acute psychopathology with social isolation, loss of daily routines, unemployment, homelessness.
ConclusionsThese cases are an example that shows the need for an early and effective approach to the rise in mental illnesses in circumstances of this caliber.
DisclosureNo significant relationships.
Paranoia
- M.J. Gordillo Montaño, L. Rodriguez Rodriguez, S.V. Boned Torres
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
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- 01 September 2022, p. S776
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Introduction
Paranoid ideas occur very often in humans (prevalence of 0.2%). According to several studies, the origin could be found in a genetic predisposition to a selective hyperdopaminergia related to the D2 receptor and dopamine neurotransmitter dysfunction.
ObjectivesTo delve into this pathology, including origin and development, epidemiology, diagnostic criteria, clinical aspects, differential diagnosis, treatment, evolution and prognosis.
MethodsWe conducted a literature review of delusional disorder.
ResultsThe disease appears in middle age, between ages 35 and 55, being slightly more frequent in women. It seems to affect more economically and educationally disadvantaged social strata, and it is more frequent in immigrants. The onset is usually progressive and insidious. Correct perception but delusional interpretation: the objectivity of what is perceived is disturbed by the subjectivity of what is registered. The delirium is usually logical, contagious, and frequently credible. Patients retain their lucidity. It is very important to make a correct differential diagnosis with schizophrenia. With regard to treatment, the therapeutic relationship with the patient will be basic. If possible, psychotherapy should be combined with pharmacological treatment (second generation antipsychotics being the treatment of choice). In general, their evolution is compatible with out-of-hospital life, being considered “odd guys”.
ConclusionsThe risk of suffering from Delusional Disorder during the lifetime is between 0.05 and 0.1%. This pathology constitutes 1-4% of all psychiatric admissions. Therefore, it is essential to know it in depth in order to be able to manage it properly.
DisclosureNo significant relationships.
Natsukashii
- M.J. Gordillo Montaño, S.V. Boned Torres, L. Rodriguez Rodriguez, M. De Amuedo Rincon
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, p. S403
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Introduction
NATSUKASHII: Japanese word that means happy nostalgia, it is the moment in which memory transports you to a beautiful memory that fills you with sweetness. NOSTALGY: (from the classical Greek [nóstos], “return”, and [algos], “pain”) feeling of sadness, suffering of thinking about something that has been had or lived in a stage and now not. In bipolar disorder, patients are more likely to complain of dysphoria than euphoria. Hypomanic periods often provide pleasant relief from depression. Patients experience this situation as pleasant, positive and longing once it has remitted, since they feel more creative, active and sociable.
ObjectivesWe intend to draw attention to the blurred limits of the state of euthymia, even when stable there is a sustained emotional hypersensitivity, which must be learned to identify and coexist. Behind the desire to be euthymic, in certain patients there is a desire to remain hypomanic and / or manic due to the fact that they have tasted absolute happiness.
MethodsAfter several interviews with stable patients, we have realized that a great majority want to re-experience the sensations of a hypomanic episode.
ResultsAfter a bibliographic search we have realized that in the West there is no term in psychopathology that describes that longing that they verbalize as “maniac lives happier”
ConclusionsSpecial attention must be paid to these patients since they have less adherence to treatment and risk of abandoning it.
DisclosureNo significant relationships.
EPA-0526 - The Weight of a Group
- S. Fuentes Márquez, R. Alonso Díaz, C. González Macías, M.J. Gordillo Montaño, M.C. Ramírez Domínguez, I. Fuentes Márquez
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- European Psychiatry / Volume 29 / Issue S1 / 2014
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction:
Currently the Eating Behavior Disorders have become a social and health problem of the first kind that requires a specialized and interdisciplinary approach to these disorders. These clinical conditions are characterized by their complexity and diversity symptomatology, which implies a significant interference in their functioning in different areas of life and clinically significant distress.
Objectives:Given the high burden of care in the USMC that difficult to monitor these patients at appropriate intervals, as well as the seriousness of the clinical and physical complications that can result, ultimately, in death, it seems necessary to implement group interventions to ensure greater continuity of care.
Aims:In all forms of group therapy underlying common advantages which advocate their implementation. Recent studies show that group therapy for eating disorders is equally effective as individual treatment. So in the USMC - Huelva conducted a psychotherapeutic group aimed at people with these clinical pictures. The present work is to analyze the impact of the intervention group in the eating disorder symptoms, anxiety and depression, comparing the results obtained in the tests applied before and after treatment.
Methods:Psychometric tests used were:
- Beck Depression Inventory (BDI)
- Inventory of State-Trait Anxiety Inventory (STAI)
- Inventory of Eating disorders (EDI)
Results:The results reflect a clinically relevant improvement in both psychometric testing quality indicators (no hospitalizations, no emergency service attendance, adherence, etc.)
Conclusions:We should consider that group psychotherapy has unique properties that offer individual psychotherapy.
2214 – Evolution In Rehabilitaqtion: Different Ages, Different Approaches
- M.C. Ramirez Domínguez, R. Alonso Díaz, M.J. Gordillo Montaño, M.A. Martinez Anguita, E. Guillén Guillén
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- European Psychiatry / Volume 28 / Issue S1 / 2013
- Published online by Cambridge University Press:
- 15 April 2020, 28-E1375
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The aim of this essay is to point out the relevance of psychosocial rehabilitation treatment in the course of a person's life. In order to get this purpose, we shall present and analyse the progress and development in treatment lived by a patient diagnosed with severe mental disorder during her early teens. Several mental health devices have been involved in her treatment.
The patient is a 25 years old woman, her treatment started at the age of fourteen when she was diagnosed with Hebephrenic Schizophrenia by the medical team of the child and adolescence Outpatient Surgery Centre of Huelva. It was developed a multidisciplinary work with the patient, setting out the following objectives to reach:
Clinical stabilization
Social and family integration.
Social abilities acquisition.
Self-care adaptation.
Self-awareness of the mental disorder
social and working reintegration
The treatment was carried out in the Outpatient Surgery Centre till she was eighteen years old. At this age, she was derived to the USMC to go on with her rehabilitation. Thanks to the treatment the patient got the clinical stabilization (no more medical admissions were required), and she was able not just to take up again her studies, but also to reach a good family integration though she lived the dead of her mother along the treatment.
Currently, the patient is under treatment in the USMC. She gets over the difficulties associated with her mental disorder, living a normalized social, family and working life.
2191 – Child-adolescent Rehabitation Treatment. Day Hospital
- R. Alonso Díaz, M.J. Gordillo Montaño, M.A. Martinez Anguita, E. Guillén Guillén, M.C. Ramirez Domínguez
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- European Psychiatry / Volume 28 / Issue S1 / 2013
- Published online by Cambridge University Press:
- 15 April 2020, 28-E1353
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This study focuses on the rehabilitation treatment in a Day Hospital of Children and Adolescents. This Hospital consists of a psychiatrist, three nurses, five nursing assistants, an occupational therapist, a schoolteacher, a part-time endocrine, a social worker and an administrative assistant, who are responsible for carrying out the therapeutic process whose notable aspects consist of psychosocial treatment aimed at the reintegration of child-adolescent to the social and/or labour normalized circuit through discussion groups and workshops.
As a working example, we are talking about a patient who starts treatment at the age of 15. He was referred to this unit to assess the benefit of a psychopharmacological treatment, from his USMC of reference, where he had been going two years. It's in the Day Hospital where he was diagnosed as bipolar affective disorder, requiring adequate control of his psychopharmacological treatment and a socio-familiar situation as stable as possible. This is due to the family dysfunction detected which may influence the evolution of the underlying pathology. After two years of monitoring, manic disorder appears requiring hospitalization, which when stabilized returns to be referred to the Day Hospital to continue rehabilitation process. This unit has tried to integrate him in his area and to get awareness of illness and treatment adherence, proposed objectives of the individual treatment plan.
Today is euthymic, following the treatment properly, has regained his school activities and has adapted best to the family dynamics. All this was possible thanks to the multidisciplinary approach undertaken in the Day Hospital.
2222 – Comprehensive Therapeuric Rehabilitation
- E. Guillén, M.C. Ramírez Domínguez, R. Alonso Díaz, M.J. Gordillo Montaño, M.A. Martinez Anguita
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- European Psychiatry / Volume 28 / Issue S1 / 2013
- Published online by Cambridge University Press:
- 15 April 2020, 28-E1381
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Addressing the psychosocial rehabilitation of mental health patients, can be approached in various ways. In this case illustrates how a multidisciplinary approach so early impact on rehabilitation os psychiatric illness.
Patient is a woman of 45 years, starting in mental health in 1989 and with five entries in the inpatient psychiatric unit between 2006–2011, with a diagnosis of bipolar disorder. During this period has come to irregularly shaped mental health unit, with poor adherence therapeutics and instability in their symtoms, without being able to normalize their mood. Has presented several manic episodes with psychotic symptoms and depressive episodes.
Treatment begins with a comprehensive approach: psychiatry, psychology, social work, and assistant nursing.
Treatment objectives were: raise awareness of disease, adherence and development and expansion of social skills in order to reduce the number of admissions and achieve clinical stabilization.
Included in the treatment psychoeducational group therapy, activities and social skills workshops and home visits. Therefore, we emphasize the importance of integrative treatment in the rehabilitation of this patient and the approach of this type of intervention to detect these cases.
EPA-0508 - Suicide Risk in Group Therapy
- S. Fuentes Márquez, C. González Macías, R. Alonso Díaz, M.C. Ramírez Domínguez, M.J. Gordillo Montaño, M.A. Anguita Martínez, E. Guillén Guillén
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- European Psychiatry / Volume 29 / Issue S1 / 2014
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction:
Suicidal behavior is a serious public health problem, being one of the leading causes of death in our country. Therefore, the identification of factors that increase or decrease the level of suicidal risk is of great importance for the close link with the conduct. There are several risk factors, including family and contextual, among which are the loss of significant others, including those that have been produced by suicide.
Objectives:In this paper, we analyze these factors in a group of patients performing a Group Therapy.
Aims:Several studies point to the existence of a moderate correlation between the BDI item 9 (‘suicidal impulse’) with a higher score on the SSI. Another goal is to check whether this relationship is between the members of our group.
Methods:To this end, two scales were administered prior to the start of Therapy: Beck Depression Inventory, a self-report scale, and the Scale of Suicide Ideation Beck (hetero).
Results:Our study confirms the existence of a moderate correlation between BDI item 9 (‘suicidal impulse’) and SSI. Therefore, item 9 of the BDI predicts a moderate way the result of the SSI that is related to suicidality. Similarly there is a significant correlation between total BDI SSI. We conclude that the intensity of the symptoms of depression is related to suicidality.
Conclusions:Consider necessary after evaluation and detection of these high-risk individuals, conducting therapeutic work aimed at the prevention of suicidal behavior within the individual treatment plan for these patients.
EPA-0589 - Toc and Psychosis: when Obsessions Become Delusions
- G. Ledesma Iparraguirre, M. Alsina Arques, M.J. Gordillo Montaño, S. López-Romeo
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- European Psychiatry / Volume 29 / Issue S1 / 2014
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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For many years it has raised a possible association between obsessive and psychotic disorders.
To enter in this topic, we present the case of a 6 year old's patient who presented tics, coprolalia, obsessive-compulsive symptoms (contamination, symmetry, accumulation) and behavioral disorders being diagnosed of Tourette's disorder. With the use of specific treatment remained stable until age 12 when obsessive thoughts changed from absurds ranges to delusional ranges causing behavioral disorganization.
Furthermore, delirious humor, depersonalization and delusions were added. This led to increase the dose of antidepressants with a partial response of obsessives symptoms and persistance of psychotics symptoms; so it was Aripiprazole treatment required.
Subsequently it was attempted to remove the antipsychotic drug, but it was not achieved because delirious symptoms reappeared. Finally, the patient was diagnosed of Tourette's disorder and undifferentiated schizophrenia.
Thus, We might consider that exist a link between the obsessives and psychotics symptom?. We present a review of the literature in order to elucidate the association between the two entities.
EPA-0547 - Do You Look at Me?
- R. Alonso Díaz, M.C. Ramírez Domínguez, S. Fuentes Márquez, C. González Macías, M.J. Gordillo Montaño, M.E. Guillén Guillén
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- European Psychiatry / Volume 29 / Issue S1 / 2014
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction:
Delusional ideas disorder is characterized by the appearance of a single delusional theme or a group of related ideas together, which normally are very persistent.
This, plus the fact that the definition of the disorder have been changing and that these patients rarely seek psychiatric help, makes it difficult to accurately assess their epidemiology, but it is estimated that delirious take between 1 and 4% of psychiatric entries and its prevalence in the general population is 0.03%.
Objectives:Analyze the variables that influence the clinical evolution.
- Risk factors
- Protective Factors
Rate the treatments tested in Mental Health since the patient is diagnosed.
Method:Analysis of the clinical history of the patient's mental health. Results-Case report
Male, 36, who was diagnosed with delusional disorder at the age of 21, after starring an episode of hetero-aggressiveness to objects.
From the beginning is characterized by delusional interpretations of referential character, gradually reaching a systematic structure delusional. Secondarily, this causes episodes of behaviour disorders with occasional psychomotor agitation, important social isolation and withdrawal, seriously affecting their daily functioning.
During a year, he required four hospitalizations for exacerbation of clinical psychotic delusional self-referential and prejudice delusional ideation, with intense feelings of hopelessness and suicidal ideation.
Conclusion:Since the possibilities of treatment of this disorder are limited by little or no disease awareness and that his delusions are usually highly structured, we find it important continue investigating the keys to achieving higher therapeutic adherence and successful social adaptation despite continue with chronic delusional ideation.
EPA-0538 – Variables Associated with Eating Disorders
- R. Alonso Díaz, S. Fuentes Márquez, M.C. Ramírez Domínguez, M.J. Gordillo Montaño, C. González Macías, M.E. Guillén Guillén
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- European Psychiatry / Volume 29 / Issue S1 / 2014
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction:
Concerns about the body and food are present in much of the population. Furthermore, alteration in eating behavior as a symptom may be part of the symptomatology of various clinical profiles. And, of course, is the main symptom of eating disorders.
One of the features offered by these tables is the high comorbidity posing with axis I disorders and Axis II. According to the literature, about half of women with ED experience anxiety disorders. Regarding affective disorders, between 20 and 80% developed at least one major depressive episode during their lifetime. Personality disorders are highly prevalent in this population, mainly the cluster B and C, linking the first and second BN with AN.
Objectives:The overall goal of this work is to analyze the comorbidity of these diagnosis.
Methods:Our research is a descriptive analysis of a sample of 30 patients from the USMC-Huelva with different diagnoses of eating disorders.
The variables studied are:
- Main diagnosis
- Comorbidity
- No. of entries at Unit Mental Health Hospitalization
- Consultations in the Emergency Department
Results:The results show that the majority of patients have been diagnosed with anorexia nervosa purging type. These patients, mostly, have another disorder, highlighting dependence disorders and / or substance abuse, anxiety disorders and personality disorders. In the sample studied, three of the subjects required hospitalization in Mental Health, and of these, only one was due solely to own principal diagnosis criteria (malnutrition).
Conclusions:The importance of a comprehensive approach that includes history of each patient and associated disorders.
2212 – Again Starting
- M.J. Gordillo Montaño, M.A. Martinez Anguita, E. Guillén Guillén, M.C. Ramirez Domínguez, R. Alonso Díaz
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- European Psychiatry / Volume 28 / Issue S1 / 2013
- Published online by Cambridge University Press:
- 15 April 2020, 28-E1373
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In a situation of imminent discharge with a serious problem such as no adherence, vague and imprecise concept of the concept of psychosis, poor support and family support, poor social relationships and social skills, little emotional resonance and leave the residence, what do we do?
In this case we opted for patient referral to a rehabilitation unit as the TC. This is where targets are raised to make an Individual treatment plan: improving disease awareness and treatment adherence, family information about the disease, extend relationships and use of leisure time, reduction of negative symptoms and residential support.
The patient is 32 years old, daughter of separated parents, diagnosed schizophrenic psychosis with 7 hospital admissions in the last 9 years. The disease is associated with the consumption of toxic. There are changes in the character, family relationship problems, clinical delusional and hallucinatory behavior disorders with numerous leaks of the home and making marginal life. Prior to the TC is trying two leads to Area Rehabilitation Unit with treatment failure after cessation of medication. After two years of follow up in TC have achieved most of the objectives proposed at the beginning, normalizing, as far as possible, the life of the patient.
Sun lupus and energy. Systemic lupus erythematosus presenting as mania
- M.J. Gordillo Montaño, S. Ramos Perdigues, M.A. Artacho Rodriguez, S. Latorre, C. Merino del Villar, C. Caballero Roy, S.V. Boned Torres, M. de Amuedo Rincon, P. Torres Llorens, M. Segura Valencia
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- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, p. s493
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Introduction
Systemic lupus erythematosus is a chronic disease that can give neuropsychiatric episodes and systemic manifestations. About 57% of patients with SLE have neuropsychiatric manifestations in the course of their illness, however an initial presentation with neuropsychiatric clinic is rare.
ObjectiveDescribe how patients receiving corticosteroids as part of their treatment can develop mental disorders but not only them.
MethodIt will raise grounds with a case: 20-year-old woman recently diagnosed with SLE because of arthritis in his ankle. Treatment was initiated with prednisone 10 mg and chloroquine 200 MG. After 20 days the patient comes to the emergency after episode of turmoil at home with major affective clinical maniform. Presenting fever. The presence of fever downloads the possibility of a psychosis chloroquine or corticosteroids to be a small dose. Treatment was initiated with high doses of prednisone and immunosuppressants. In addition to associating specific anticonvulsant and antipsychotic drugs at usual doses for a manic episode.
ResultsTreatment of psychosis in SLE is essentially empirical, and depends on the etiology. It usually responds to the use of high doses of corticosteroids combined with immunosuppressive drugs. Psychosis induced by corticosteroids requires lowering them. It is valid concomitant use of antipsychotics.
ConclusionsThe presence of psychotic symptoms in a patient with systemic lupus erythematosus forces to distinguish between various etiological possibilities.
Corticosteroids may cause a variety of psychiatric symptoms. And yet, in patients with SLE these syndromes are not always attributable to the use of corticosteroids.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
Confusion between symptom and disease. Parkinson vs meningioma
- M.J. Gordillo Montaño, S. Ramos Perdigues, C. Merino del Villar, C. Caballero Roy, S. Latorre, M. Guisado Rico, A. Bravo Romero, S.V. Boned Torres, M. de Amuedo Rincon
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- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, p. s493
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Introduction
Parkinson's disease is caused by decreased dopaminergic neurons of the substantia nigra. Psychosis occurs between 20 and 40% of patients with Parkinson's disease. Dopaminergic drugs act as aggravating or precipitating factor. Before the introduction of levodopa patients had described visual hallucinations but the frequency was below 5%.
ObjectiveIllustrated importance of treatment, reassessment after its introduction and refractoriness to answer; as well as the importance of a differential diagnosis at the onset of psychotic symptoms later in life.
MethodClinical case: female patient 75 years tracking Neurology by parkinsonism in relation to possible early Parkinson disease. She was prescribed rasagiline treatment. Begins to present visual and auditory hallucinations, delusional self-referential and injury. She had no previous psychiatric history. She went on several occasions to the emergency room, where the anti-Parkinson treatment is decreased to the withdrawal point and scheduled antipsychotics did not answer. Doses of antipsychotics are increased despite which symptoms persist and even increase psychotic symptoms. In this situation it is agreed to extend the study. Subsequently an NMR of the skull where the image is suggestive of a right occipital meningioma appears.
Results/conclusionsWith the emergence of psychotic symptoms later in life it will be important to ask a broad differential diagnosis, since in a large number of cases will be secondary to somatic or to drug therapies.
Parkinsonism can be a symptom of occipital meningioma, presenting in the psychotic clinic. Refractoriness, on one hand to the suspension of treatment for Parkinson's disease, such as poor response to antipsychotics, did extend the study, which ultimately gave us the diagnosis.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
A broken heart
- M.J. Gordillo Montaño, S. Ramos Perdigues, S. Latorre, M. de Amuedo Rincon, P. Torres Llorens, S.V. Boned Torres, M. Segura Valencia, M. Guisado Rico, C. Merino del Villar
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- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, pp. S422-S423
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Introduction
Within the various cultures and throughout the centuries has observed the relationship between emotional states and heart function, colloquially calling him “heartbroken”. Also in the medical literature are references to cardiac alterations induced by stress.
ObjectiveTakotsubo is a rare cardiac syndrome that occurs most frequently in postmenopausal women after an acute episode of severe physical or emotional stress. In the text that concerns us, we describe a case related to an exacerbation of psychiatric illness, an episode maniform.
MethodWoman 71 years old with a history of bipolar I disorder diagnosed at age 20. Throughout her life, she suffered several depressive episodes as both manic episodes with psychotic symptoms. Carbamazepine treatment performed and venlafaxine. He previously performed treatment with lithium, which had to be suspended due to the impact on thyroid hormones and renal function, and is currently in pre-dialysis situation.
She requires significant adjustment treatment, not only removal of antidepressants, but introduction of high doses of antipsychotic and mood stabilizer change of partial responders. In the transcurso income, abrupt change in the physical condition of the patient suffers loss of consciousness, respiratory distress, drop in blood pressure, confusion, making involving several specialists. EEG was performed with abnormal activity, cranial CT, where no changes were observed, and after finally being Echocardiography and coronary angiography performed when diagnosed Takotsubo.
Results/conclusionsIn this case and with the available literature, we can conclude that the state of acute mania should be added to the list of psychosocial/stressors that can trigger this condition.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
I was not so
- M.J. Gordillo Montaño, S. Ramos Perdigues, E. Guillén Guillén, O. Lopez Berastegui, M. Guisado Rico, S.V. Boned Torres, M. De Amuedo Rincon, C. Merino del Villar, S. Latorre
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- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, pp. S668-S669
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Introduction
The frontal lobes are the brain structures of latest development and evolution in the human brain. It is considered that the frontal lobes represent the “executive center of the brain”. The frontal tumors represent 16% of all supratentorial tumors. Symptoms are easily confused as psychiatric rather than neurological.
ObjectivesCan see the alterations of the executive functions in a case of frontal affectation, for future cases know where to focus our attention and develop concepts associated with frontal lobe.
MethodThirty-year-old patient without relevant medical history. Go to the emergency department with major episode of agitation. After performing cranial CT abnormality, it is detected in the front area. Sign up study. It presents amnesia episode before admission, whereupon shown stunned and worried. The patient describes a change in your life 12 months ago, when it begins to be more nervous, increasing their impulsiveness, she has episodes of binge eating, purging behavior with subsequent occasional alcohol abuse. Jealousy. The patient is informed as much as your family of the possible impact of the injury on the behavioral sphere and impulse control when it is still unknown origin.
ConclusionsFrom a neuropsychological point of view the frontal lobes represent a system of planning, regulation and control of psychological processes; coordination and allow selection of multiple processes and various behavioral options and strategies available to the human being. Tumour research is important as it provides enough information we cognitive impairment. These patients exhibit symptoms that are easily confused as psychiatric rather than neurological.
Disclosure of interestThe authors have not supplied their declaration of competing interest.