Cerebral calcifications and schizophreniform disorder

Detalhes bibliográficos
Autor(a) principal: Meyer,Leonardo Fernandez
Data de Publicação: 2013
Outros Autores: Jozef,Flávio, Taborda,José Geraldo Vernet, Brasil,Marco Antonio Alves, Valença,Alexandre Martins
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852013000100011
Resumo: OBJECTIVES: Discuss pathophysiological aspects of cerebral calcifications (CC) and highlight its importance related to the occurrence of neuropsychiatric syndromes. METHOD: Single case report. RESULT: Man 52 years old, 20 years after going through a total thyroidectomy, starts showing behavioral disturbance (psychotic syndrome). He was diagnosed as schizophrenic (paranoid subtype) and submitted to outpatient psychiatric treatment. During a psychiatric admission to evaluate his progressive cognitive and motor deterioration, we identified a dementia syndrome and extensive cerebral calcifications, derived from iatrogenic hypoparathyroidism. CONCLUSION: The calcium and phosphorus disturbances, including hypoparathyroidism, are common causes of CC. Its symptoms can imitate psychiatric disorders and produce serious and permanent cognitive sequelae. The exclusion of organicity is mandatory in any psychiatric investigative diagnosis in order to avoid unfavorable outcomes, such as in the present case report.
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spelling Cerebral calcifications and schizophreniform disorderBasal ganglia calcificationorganic psychosisFahr's diseasedementiaschizophreniform disordercalcium and phosphorus metabolism disturbanceshypoparathyroidismOBJECTIVES: Discuss pathophysiological aspects of cerebral calcifications (CC) and highlight its importance related to the occurrence of neuropsychiatric syndromes. METHOD: Single case report. RESULT: Man 52 years old, 20 years after going through a total thyroidectomy, starts showing behavioral disturbance (psychotic syndrome). He was diagnosed as schizophrenic (paranoid subtype) and submitted to outpatient psychiatric treatment. During a psychiatric admission to evaluate his progressive cognitive and motor deterioration, we identified a dementia syndrome and extensive cerebral calcifications, derived from iatrogenic hypoparathyroidism. CONCLUSION: The calcium and phosphorus disturbances, including hypoparathyroidism, are common causes of CC. Its symptoms can imitate psychiatric disorders and produce serious and permanent cognitive sequelae. The exclusion of organicity is mandatory in any psychiatric investigative diagnosis in order to avoid unfavorable outcomes, such as in the present case report.Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852013000100011Jornal Brasileiro de Psiquiatria v.62 n.1 2013reponame:Jornal Brasileiro de Psiquiatria (Online)instname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ10.1590/S0047-20852013000100011info:eu-repo/semantics/openAccessMeyer,Leonardo FernandezJozef,FlávioTaborda,José Geraldo VernetBrasil,Marco Antonio AlvesValença,Alexandre Martinseng2013-05-07T00:00:00Zoai:scielo:S0047-20852013000100011Revistahttp://portalrev.enfermagem.bvs.br/index.php?issn=0047-2085&lang=ptONGhttps://old.scielo.br/oai/scielo-oai.php||editora@ipub.ufrj.br1982-02080047-2085opendoar:2013-05-07T00:00Jornal Brasileiro de Psiquiatria (Online) - Universidade Federal do Rio de Janeiro (UFRJ)false
dc.title.none.fl_str_mv Cerebral calcifications and schizophreniform disorder
title Cerebral calcifications and schizophreniform disorder
spellingShingle Cerebral calcifications and schizophreniform disorder
Meyer,Leonardo Fernandez
Basal ganglia calcification
organic psychosis
Fahr's disease
dementia
schizophreniform disorder
calcium and phosphorus metabolism disturbances
hypoparathyroidism
title_short Cerebral calcifications and schizophreniform disorder
title_full Cerebral calcifications and schizophreniform disorder
title_fullStr Cerebral calcifications and schizophreniform disorder
title_full_unstemmed Cerebral calcifications and schizophreniform disorder
title_sort Cerebral calcifications and schizophreniform disorder
author Meyer,Leonardo Fernandez
author_facet Meyer,Leonardo Fernandez
Jozef,Flávio
Taborda,José Geraldo Vernet
Brasil,Marco Antonio Alves
Valença,Alexandre Martins
author_role author
author2 Jozef,Flávio
Taborda,José Geraldo Vernet
Brasil,Marco Antonio Alves
Valença,Alexandre Martins
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Meyer,Leonardo Fernandez
Jozef,Flávio
Taborda,José Geraldo Vernet
Brasil,Marco Antonio Alves
Valença,Alexandre Martins
dc.subject.por.fl_str_mv Basal ganglia calcification
organic psychosis
Fahr's disease
dementia
schizophreniform disorder
calcium and phosphorus metabolism disturbances
hypoparathyroidism
topic Basal ganglia calcification
organic psychosis
Fahr's disease
dementia
schizophreniform disorder
calcium and phosphorus metabolism disturbances
hypoparathyroidism
description OBJECTIVES: Discuss pathophysiological aspects of cerebral calcifications (CC) and highlight its importance related to the occurrence of neuropsychiatric syndromes. METHOD: Single case report. RESULT: Man 52 years old, 20 years after going through a total thyroidectomy, starts showing behavioral disturbance (psychotic syndrome). He was diagnosed as schizophrenic (paranoid subtype) and submitted to outpatient psychiatric treatment. During a psychiatric admission to evaluate his progressive cognitive and motor deterioration, we identified a dementia syndrome and extensive cerebral calcifications, derived from iatrogenic hypoparathyroidism. CONCLUSION: The calcium and phosphorus disturbances, including hypoparathyroidism, are common causes of CC. Its symptoms can imitate psychiatric disorders and produce serious and permanent cognitive sequelae. The exclusion of organicity is mandatory in any psychiatric investigative diagnosis in order to avoid unfavorable outcomes, such as in the present case report.
publishDate 2013
dc.date.none.fl_str_mv 2013-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852013000100011
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852013000100011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S0047-20852013000100011
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
publisher.none.fl_str_mv Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
dc.source.none.fl_str_mv Jornal Brasileiro de Psiquiatria v.62 n.1 2013
reponame:Jornal Brasileiro de Psiquiatria (Online)
instname:Universidade Federal do Rio de Janeiro (UFRJ)
instacron:UFRJ
instname_str Universidade Federal do Rio de Janeiro (UFRJ)
instacron_str UFRJ
institution UFRJ
reponame_str Jornal Brasileiro de Psiquiatria (Online)
collection Jornal Brasileiro de Psiquiatria (Online)
repository.name.fl_str_mv Jornal Brasileiro de Psiquiatria (Online) - Universidade Federal do Rio de Janeiro (UFRJ)
repository.mail.fl_str_mv ||editora@ipub.ufrj.br
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