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Catatonia in Anti-N-Methyl-D-Aspartate (NMDA) Receptor Encephalitis Misdiagnosed as Schizophrenia

2020-03-02Journal article Open access
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dc.contributor.authorPonte, A
dc.contributor.authorBrito, A
dc.contributor.authorNóbrega, C
dc.contributor.authorPinheiro, S
dc.contributor.authorGama Marques, J
dc.date.accessioned2020-10-20T14:45:08Z
dc.date.available2020-10-20T14:45:08Z
dc.date.issued2020-03-02
dc.description.abstractAnti-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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port. 2020 Mar 2;33(3):208-211.pt_PT
dc.identifier.doi10.20344/amp.11077pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3509
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOrdem dos Médicospt_PT
dc.subjectHSAC NEUpt_PT
dc.subjectAnti-N-Methyl-D-Aspartate Receptor Encephalitis / diagnosispt_PT
dc.subjectAnti-N-Methyl-D-Aspartate Receptor Encephalitis / drug therapypt_PT
dc.subjectCatatonia / etiologypt_PT
dc.subjectDiagnostic Errorspt_PT
dc.subjectElectroencephalography
dc.subjectMarijuana Abuse / complications
dc.subjectPsychoses, Substance-Induced / diagnosis
dc.subjectSchizophrenia / diagnosis
dc.subjectSchizophrenia / drug therapy
dc.subjectSeizures / diagnosis
dc.subjectMale
dc.subjectHumans
dc.subjectAdult
dc.titleCatatonia in Anti-N-Methyl-D-Aspartate (NMDA) Receptor Encephalitis Misdiagnosed as Schizophreniapt_PT
dc.title.alternativeCatatonia em Encefalite Anti-Receptor N-Metil-D-Aspartato (NMDA) Confundida com Esquizofreniapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage211pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPage208pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume33pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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