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Yıl:2015; Cilt: 28; Sayı: 2>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2015;28(2):171-174
Nadir organik psikoz: Bir ergen Anti-N-Metil-D-Aspartat reseptor ensefaliti olgusu
H İpek, C Mutlu, HE Sönmez, ÖS Üneri
Bakirkoy Ruh Sağlığı ve Hastalıkları Hastanesi, Ankara
Psikotik belirtiler tanılamanın bazen güç olduğu çok sayıda nörolojik ve genel tıbbi durumlarda ortaya çıkabilir. Olgu sunumunun konusu, akut psikotik belirtilerle gelen ve Anti-N-Metil-D-Aspartat Reseptor (Anti-NMDAR) ensefaliti tanısı alan 16 yaşında kızdır. Bu olgu sunumunda, Anti-NMDAR ensefalitinin ana özellikleri vurgulandı ve gözden geçirildi. Klinisyenler, özellikle psikiyatristler, akut psikotik belirtiler, dezorganize davranışlar, azalmış bilinç düzeyi ve yeni başlayan nöbetleri olan genç kız hastalarda Anti-NMDAR ensefaliti ayırıcı tanısını düşünmeli ve bir süre laboratuar ve görüntüleme testlerinin negatif olabileceğini hatırlamalıdırlar.
Uncommon organic psychosis: an adolescent case of Anti-N-Methyl-D-Aspartate receptor encephalitis
Psychotic symptoms may present in many neurological and general medical conditions in which, diagnosing is sometimes difficult. We reported a 16-year-old female presenting acute psychotic symptoms and diagnosed with Anti-N-Methyl-D-Aspartate Receptor (Anti-NMDAR) encephalitis. In this case report, main characteristics of anti-NMDAR encephalitis were highlighted and reviewed. Clinicians, especially psychiatrists, should consider a differential diagnosis of anti-NMDAR encephalitis in young, female patients with acute onset of psychotic symptoms, disorganized behaviors, decreased level of consciousness and new onset seizures, and remember that laboratory and imaging tests can be negative for a period of time

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