Banderas rojas para sospechar encefalitis anti-NMDAr en un primer episodio psicótico: reporte de dos casos / Red flags for suspecting anti-NMDAr encephalitis in a first psychotic episode: report of two cases
Rev. colomb. psiquiatr
;
48(2): 127-130, ene.-jun. 2019. tab
Article
in Spanish
| LILACS, COLNAL
| ID: biblio-1042855
RESUMEN
RESUMEN La encefalitis asociada a anticuerpos contra el receptor de N-metil-D-Aspartato (NMDAr) es una entidad clínica recientemente descrita con un número creciente de casos reporta dos. Los síntomas psiquiátricos en etapas tempranas de la enfermedad conforman un reto diagnóstico para el médico tratante. Presentamos dos casos clínicos el caso clínico 1, un hombre de 26 arios y el caso clínico 2, un joven de 18 arios, ambos abordados como primer episodio de psicosis y hospitalizados en instituciones psiquiátricas. Posteriormente, ambos casos fueron diagnosticados como encefalitis anti-NMDAr. La alta prevalencia de síntomas psiquiátricos en la encefalis anti-NMDAr demanda a los médicos psiquiatras y neurólogos a tener un alto índice de sospecha en presencia de síntomas atípicos en pacientes evaluados por primer episodio de psicosis.
ABSTRACT
ABSTRACT Anti-N-methyl-D-Aspartate receptor (NMDAr) encephalitis is a recently described clinical entity with an increasing number of reported cases. Psychiatric symptoms in the early stages of the disease constitute a diagnostic challenge for the treating physician. We present two clinical cases clinical case 1, a 26-year-old man, and clinical case 2, an 18-year-old man; both presented with a first episode of psychosis and were hospitalized as psychiatric disorders. Subsequently, both cases were diagnosed as anti-NMDAr encephalitis. The high prevalence of psychiatric symptoms in anti-NMDAr encephalitis forces psychiatrists and neurologists to have a high degree of suspicion in the presence of atypical symptoms in patients evaluated for the first episode of psychosis.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Psychotic Disorders
/
Anti-N-Methyl-D-Aspartate Receptor Encephalitis
Type of study:
Diagnostic study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. colomb. psiquiatr
Journal subject:
Psychiatry
Year:
2019
Type:
Article
Affiliation country:
Colombia
/
Mexico
Institution/Affiliation country:
Instituto Nacional de Neurología y Neurocirugía/MX
/
Universidad CES/CO
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