1
|
Silva-Dos-Santos A, Youssef NA, Bravo J, Sales M, Velho MV, Simões F, Gaspar B, Gracias MJ, Lopes J, Duarte R, Lara E, Gusmão R, Sackeim HA. Single session subconvulsive electrical stimulation has rapid therapeutic effects and reduces length of hospitalization in patients in an acute manic episode. Brain Stimul 2023; 16:1452-1454. [PMID: 37769989 DOI: 10.1016/j.brs.2023.09.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 09/21/2023] [Indexed: 10/03/2023] Open
Affiliation(s)
- Amilcar Silva-Dos-Santos
- Hospital CUF Tejo, Lisbon, Portugal; NOVA Medical School (NMS/FCM) - NOVA University of Lisbon, Lisbon, Portugal; Universidade do Mindelo, Rua Patrice Lumumba, CP 648, Mindelo, São Vicente, Republic of Cabo Verde; Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - Nagy A Youssef
- Department of Psychiatry, The Ohio State University College of Medicine, Columbus, OH, USA
| | - Joana Bravo
- Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - Miguel Sales
- Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal; Psychiatry Department, Centro Hospitalar do Oeste, Unidade de Caldas da Rainha, Caldas da Rainha, Portugal
| | - Maria Vaz Velho
- Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - Fábio Simões
- Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - Beatriz Gaspar
- Faculty of Medicine, University of Lisbon, Lisbon, Portugal
| | - Maria João Gracias
- Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - Joana Lopes
- Psychiatry Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | - Rita Duarte
- Cardiology Department, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
| | | | - Ricardo Gusmão
- EpiUnit, Public Health Institute, University of Porto (ISPUP), Porto, Portugal; Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal; Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto (FMUP), Portugal
| | - Harold A Sackeim
- Departments of Psychiatry and Radiology, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
| |
Collapse
|
2
|
Moura M, Silva-Dos-Santos A, Afonso J, Talina M. First-episode psychosis in a 15 year-old female with clinical presentation of anti-NMDA receptor encephalitis: a case report and review of the literature. BMC Res Notes 2016; 9:374. [PMID: 27473459 PMCID: PMC4966559 DOI: 10.1186/s13104-016-2180-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Accepted: 07/22/2016] [Indexed: 12/27/2022] Open
Abstract
Background Anti-NMDA receptor encephalitis is an autoimmune disease that was identified in 2007, and manifests in a stepwise manner with psychiatric, neurological and autonomic symptoms. The disease is caused by autoantibodies against NMDA receptors. It can have a paraneoplastic origin, mainly secondary to ovarian teratomas, but it can also be unrelated to the tumor. This disease can affect both sexes and all ages. Case presentation Here, we present a case of a 15 year-old female adolescent with first-episode psychosis with anti-NMDA receptor encephalitis not related to tumor, which manifested with delusion, hallucinations, panic attacks, agitation, and neurological symptoms, and later with autonomic instability. She was treated with immunotherapy and psychiatric medication resulting in improvement of her main psychiatric and neurological symptoms. Conclusion Our main objective in presenting this case is to alert clinicians to this challenging and recent disease that has a clinical presentation that might resemble a functional psychiatric condition and can be underdiagnosed in the context of child and adolescent psychiatry.
Collapse
Affiliation(s)
- Maria Moura
- Unit of Child and Adolescent Psychiatry, Department of Psychiatry, Hospital Vila Franca de Xira, R. do Parque Res. dos Povos 1, 2600-009, Vila Franca de Xira, Portugal
| | - Amilcar Silva-Dos-Santos
- Department of Psychiatry, Hospital Vila Franca de Xira, R. do Parque Res. dos Povos 1, 2600-009, Vila Franca de Xira, Portugal. .,Faculty of Medicine, Institute of Pharmacology and Neurosciences, University of Lisbon, Lisbon, Portugal. .,Unit of Neurosciences, Institute of Molecular Medicine, University of Lisbon, Av. Professor Egas Moniz, 1649-028, Lisbon, Portugal.
| | - Joana Afonso
- Child and Adolescent Psychiatry Unit, Hospital Dona Estefânia-Centro Hospitalar de Lisboa Central, R. Jacinta Marto, 1169-045, Lisbon, Portugal
| | - Miguel Talina
- Department of Psychiatry, Hospital Vila Franca de Xira, R. do Parque Res. dos Povos 1, 2600-009, Vila Franca de Xira, Portugal.,CEDOC, Chronic Diseases Research Centre, Nova Medical School, Faculdade de Ciencias Médicas, New University of Lisbon, Campo Mártires da Pátria 130, 1169-056, Lisbon, Portugal
| |
Collapse
|