[Autoantibody-associated schizophreniform psychoses: clinical symptomatology]

Autor: Dominique, Endres, Karl, Bechter, Harald, Prüss, Alkomiet, Hasan, Johann, Steiner, Frank, Leypoldt, Ludger, Tebartz van Elst
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Der Nervenarzt 90(5), 547-563 (2019). doi:10.1007/s00115-019-0700-z
DOI: 10.1007/s00115-019-0700-z
Popis: According to present concepts, primary psychotic disorders in the schizophrenia spectrum are probably caused by a complex interaction between multigenetic vulnerability and causally relevant environmental factors. In contrast, secondary psychotic disorders are the result of likely identifiable organic factors either in terms of a first causation (etiology) or a secondary cause (pathogenesis). In this context, autoantibody(ab)-associated autoimmune encephalitis (AE) plays an increasingly important role. Within the group of ab-associated AE with neuropsychiatric symptoms, anti-N-methyl-D-aspartate receptor encephalitis is the most prevalent one. Psychopathologically, polymorphic psychotic symptoms are often observed at onset of AE; however, over the course of this condition or even initially other neuropsychiatric phenomena are also common. The ill-defined entity of a steroid-responsive encephalopathy with thyroid antibodies (Hashimoto's encephalitis) is a heterogeneous syndrome that may also comprise isolated psychotic disorders presenting as classical schizophrenia.
Databáze: OpenAIRE