Adem: literature review and case report of acute psychosis presentation
| Autor: | John T. Nasr, P.K Coyle, Mary R. Andriola |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Pediatrics
medicine.medical_specialty Psychosis Pathology Adolescent Encephalomyelitis Diagnosis Differential Central nervous system disease Developmental Neuroscience medicine Humans Coma business.industry Incidence Incidence (epidemiology) Encephalomyelitis Acute Disseminated medicine.disease Magnetic Resonance Imaging Psychotic Disorders Neurology El Niño Pediatrics Perinatology and Child Health Acute disseminated encephalomyelitis Female Neurology (clinical) medicine.symptom Differential diagnosis business |
| Zdroj: | Pediatric Neurology. 22:8-18 |
| ISSN: | 0887-8994 |
| Popis: | Acute disseminated encephalomyelitis is a monophasic, immune-mediated disorder that produces multifocal demyelinating lesions within the central nervous system. It is characterized clinically by the acute onset of neurologic abnormalities, including varying degrees of mental state changes ranging from drowsiness to coma. It is unusual for the illness to present as an isolated acute psychosis. The case of a 14-year-old female with biopsy-confirmed acute disseminated encephalomyelitis, who was initially diagnosed with an acute psychiatric disorder, is presented, and published reports on this unusual manifestation are reviewed. A Medline database search was performed from 1965 to 1999, using the terms acute disseminated encephalomyelitis, postvaccinal encephalomyelitis, postinfectious encephalomyelitis, and measles encephalomyelitis, combined with the terms psychosis, psychiatric disorder, and behavioral disorder. Selected cross-referenced reports were also reviewed. Nine patients were identified who presented with acute psychosis. We conclude that, although rare, acute disseminated encephalomyelitis can present as an acute psychosis. This immune-mediated condition should be included in the differential diagnosis of neurologic disorders presenting as a psychiatric illness. |
| Databáze: | OpenAIRE |
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