RESUMO
Resumen En los últimos años se han incrementado los casos de intoxicación por escopolamina con fines delictivos, con importantes repercusiones médicas, cognitivas y sociales, que requieren ser estudiadas, por ello, y ante la escasa investigación realizada en este tema, el objetivo del presente estudio es registrar las implicaciones neurológicas, neuropsicológicas y psiquiátricas en un caso de intoxicación por escopolamina mediante un diseño de caso único basado en el reporte de un hombre de 43 años de edad quien fue expuesto a una intoxicación por escopolamina cuatro meses previos a la valoración. Se realizó la valoración de la ejecución cognitiva del sujeto frente a su coeficiente intelectual y áreas relacionadas con su atención, memoria de trabajo, praxias, lenguaje, memoria, regulación emocional y funciones ejecutivas. También se aplicó la prueba de personalidad MMPI con el fin de ampliar información sobre aspectos de la personalidad del sujeto o alteraciones psiquiátricas derivadas de la intoxicación. Entre los resultados se hallaron dificultades en atención, memoria, control emocional y funciones ejecutivas; además se encontraron consecuencias psiquiátricas y neurológicas, evidenciando que la exposición a un agente tóxico que bloquee el sistema colinérgico, en especial los canales muscarinicos, puede causar la exacerbación de una enfermedad psiquiátrica premórbida.
Abstract In recent years scopolamine intoxication cases for criminal purposes has increased, with important medical, cognitive and social sequels, that need to be studied, therefore, and given the limited research on this topic, the aim of this study was to record together the implications neurological, neuropsychological and psychiatric case of poisoning scopolamine using a single case design based on the report of scopolamine intoxication about five months of a 43 year old. For this assessment was made of the subject's cognitive performance in front of their IQ and related areas with attention, working memory, praxis, language, memory, emotion regulation and executive functions. Also applied MMPI personality test to expand the information about the subject's personality or psychiatric disorders resulting from intoxication. Among the results there were found difficulties in attention, memory, emotional control and executive functions, and is a high relationship between psychiatric and neurological area, which explains that exposure to a toxic agent that blocks the cholinergic system, especially the channels muscarinic, can cause exacerbation of premorbid psychiatric illness.
Assuntos
Intoxicação , Escopolamina , Função Executiva , Transtornos Mentais , Psiquiatria/métodos , Memória , Memória de Curto Prazo , Neurologia/métodos , Neuropsicologia/métodosRESUMO
The main objective of this article was to describe the neuropsychological performance of a preteen diagnosed with attention-deficit/hyperactivity disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). An average level of intelligence but poor attention, memory, and language performance and executive function were found during the neuropsychological assessment. We also found significant detriments at the behavioral level that corresponded to the DSM-IV diagnosis. These results are consistent with studies of patients with frontal lobe dysfunction in which females with conduct disorder present a neuropsychological profile with greater compromises in cognitive processes. Consequently, the present text highlights the importance of obtaining a greater empirical and theoretical background for diagnosis and early intervention to reduce the social consequences of female criminality.