Approach to the patient in the first episode of a psychotic episode: literature review

• Autor(a) principal: Araújo , Maria Thais Caldas
• Data de Publicação: 2021
• Outros Autores: Santos, Marcus Vinicius Dutra dos, Maia, Marina Gentil Heraclio, Rodrigues, Renan Marques Gadelha, Aragão , Carmem Raquel Marques Coura, Pessoa, Maria Luiza Abreu, Farias, Lillian Rodrigues, Macedo , Maria Beatriz Cruz, Santiago, José de Arimateia Oliveira, Araujo, João Marcos Batista Gomes de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/20689
• topic: Encefalopatía de Hashimoto; Tiroiditis de Hashimoto; Signos clínicos.; Hashimoto's Encephalopathy; Hashimoto's Thyroiditis; Clinical signs.; Encefalopatia de Hashimoto; Tireoidite de Hashimoto; Sinais clínicos.

Encelopathies are constituted by a group of heterogeneous etiologies, having a clinical condition that needs rapid attention to be identified. Among the encelopathies, some have been more studied in recent decades, such as Hashimoto's Encephalopathy (HE), a disease that was described in 1966 by Jellinek as a brain pathology with a vascular component and presence of anti-thyroid antibodies, which may be related to Hashimoto's thyroiditis (TH). This disease can manifest itself in stroke-like episodes, psychiatric syndromes, and epileptic seizures in 66% of cases and does not have typical paraclinical features. Furthermore, it is drug resistant and involves a possible progression to partially complex, rarely generalized seizures, possibly followed by weakness. In this context, this article aims to verify the main pathophysiological and clinical repercussions of Hashimoto's Encephalopathy from a bibliographical and exploratory study, using descriptors validated through Health Sciences Descriptors (DECS). It was found that there are factors related to the disease, such as genetic predominance, lack of chemical elements. Furthermore, studies have indicated that electroencephalographic and magnetic resonance imaging results are consistent in detecting Hashimoto's encephalopathy.