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Browsing by Author "Ponte, A"

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  • Catatonia in Anti-N-Methyl-D-Aspartate (NMDA) Receptor Encephalitis Misdiagnosed as Schizophrenia
    Publication . Ponte, A; Brito, A; Nóbrega, C; Pinheiro, S; Gama Marques, J
    Anti-N-Mmethyl-D-aspartate receptor encephalitis is an autoimmune disease of the central nervous system with prominent neurologic and psychiatric features. Symptoms appear progressively and sometimes with an exclusively psychiatric initial presentation. The patient's evaluation should be meticulous, and we should use all the diagnostic tests required for the exclusion of entities that can mimic this disease. We report the diagnostic investigation of a case of anti-N-methyl-D-aspartate receptor encephalitis in a patient with a previous diagnosis of schizophrenia with poor response to antipsychotics. The aim of this case report is to highlight the importance of close surveillance for neuropsychiatric symptoms, especially catatonia, and to recognize autoimmune encephalitis in the differential diagnosis of psychotic disorders with neurological symptoms and resistance or intolerance to antipsychotics. A prompt diagnosis will contribute to a faster onset of therapy and an overall improvement in prognosis.
    2020-03-02Journal article Open access Show more
  • Small Bowel Enteroscopy - A Joint Clinical Guideline by the Spanish and Portuguese Small-Bowel Study Groups
    Publication . Pérez-Cuadrado Robles, E; Pinho, R; González-Suárez, B; Mão-de-Ferro, S; Chagas, C; Esteban Delgado, P; Carretero, C; Figueiredo, P; Rosa, B; García-Lledó, J; Nogales, O; Ponte, A; Andrade, P; Juanmartiñena-Fernández, JF; San-Juan-Acosta, M; Lopes, S; Prieto-Frías, C; Egea Valenzuela, J; Caballero, N; Valdivieso-Cortázar, E; Cardoso, H; Gálvez, C; Almeida, N; Borque Barrera, P; Gómez Rodríguez, BJ; Sánchez Ceballos, FL; Bernardes, C; Alonso-Aguirre, P; Argüelles Arias, F; Mascarenhas Saraiva, M
    The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small-bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication, and its diagnostic and therapeutic yield. A set of recommendations was issued accordingly.
    2020-04Journal article Open access Show more