Psychosis following acute Sydenham's chorea

被引:21
|
作者
Teixeira, Antonio Lucio, Jr.
Maia, Debora Palma
Cardoso, Francisco
机构
[1] UFMG, Fac Med, Dept Clin Med, BR-30130100 Belo Horizonte, MG, Brazil
[2] Univ Fed Minas Gerais, Fac Med, Dept Internal Med, Belo Horizonte, MG, Brazil
[3] Univ Fed Minas Gerais, Univ Hosp, Movement Disorders Clin, Belo Horizonte, MG, Brazil
关键词
Syndenham's chorea; psychosis; basal ganglia;
D O I
10.1007/s00787-006-0566-z
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Sydenham's chorea (SC) is characterized by motor, mainly choreic involuntary movements, and psychiatric symptoms, including anxiety, depression, obsessive-compulsive and attention-deficit/hyperactivity disorders. Symptoms of SC may be considered as the result of basal ganglia dysfunction determined by autoimmune mechanisms elicited by streptococcal infection. We report on a case of a 13-year-old boy with brief psychotic episode following acute SC. His hallucinations and delusions remitted after treatment with risperidone, paralleling motor improvement. The neurobiological basis of psychotic symptoms remains largely elusive. This case report provides further insight about the involvement of basal ganglia dysfunction on psychosis.
引用
收藏
页码:67 / 69
页数:3
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