A Case of Affective Disorder with Psychotic Symptoms as Late Manifestation of Huntington's Chorea

被引：3

作者：

Rittmannsberger, Hans ^{[1
]}

Gebetsberger, Barbara ^{[1
]}

Pichler, Robert ^{[1
]}

Rotaru, Julia ^{[1
]}

Trattmayr, Nina ^{[1
]}

Zaunmueller, Thomas ^{[1
]}

机构：

[1] Oberosterreich Landes Nervenklin, Linz, Austria

来源：

PSYCHIATRISCHE PRAXIS | 2011年 / 38卷 / 06期

关键词：

Huntington's Chorea; affective disorder; depression; psychotic symptoms; ECT; DIFFERENTIAL-DIAGNOSIS; DISEASE; ECT;

D O I：

10.1055/s-0030-1266135

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

We report about a woman of 60 years who received psychiatric inpatient treatment for an affective disorder with psychotic symptoms on several occasions. As time elapsed symptoms of dementia became more and more obvious. Despite a comprehensive workup with neuroimaging methods (SPECT, PET) the correct diagnosis of Huntington's Chorea was not attained until the characteristic movements appeared. Up till then pathologic movements had hardly occurred and there were no known cases of Huntington's Chorea in the family. This case is remarkable as the patient was not only treated with different antidepressants and antipsychotics but with a course of ECT too. Beyond this it shows the enormous stress this illness imposes on patients and their caregivers.

引用

页码：306 / 308

页数：3

共 14 条

[1]

Amann B, 2000, World J Biol Psychiatry, V1, P55, DOI 10.3109/15622970009150566

[2]

Bürger K, 2002, NERVENARZT, V73, P870, DOI 10.1007/s00115-002-1361-9

[3] Measurement of mutational flow implies both a high new-mutation rate for Huntington disease and substantial underascertainment of late-onset cases [J].

Falush, D ;

Almqvist, EW ;

Brinkmann, RR ;

Iwasa, Y ;

Hayden, MR .

AMERICAN JOURNAL OF HUMAN GENETICS, 2001, 68 (02) :373-385

[4]

Folstein S.E., 1989, HUNTINGTONS DIS DISO

[5] Dementia and suicidal behavior: a review of the literature [J].

Haw, Camilla ;

Harwood, Daniel ;

Hawton, Keith .

INTERNATIONAL PSYCHOGERIATRICS, 2009, 21 (03) :440-453

[6]

Jähnel M, 2001, NERVENARZT, V72, P227, DOI 10.1007/s001150050743

[7]

Kosinski CM, 2007, NERVENARZT, V78, P37, DOI 10.1007/s00115-007-2330-0

[8]

Lewis CF, 1996, J NEUROPSYCH CLIN N, V8, P209

[9]

RANEN NG, 1994, J NEUROPSYCH CLIN N, V6, P154

[10] Shared Psychotic Disorder (Folie a deux) and Huntington's Disease [J].

Roth, Christian ;

Stuewe, Ralph ;

Boeger, Andreas ;

Serafin, Siegfried ;

Franz, Michael .

PSYCHIATRISCHE PRAXIS, 2010, 37 (01) :43-45

← 1 2 →