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Psychotic reaction as a manifestation of multiple sclerosis relapse treated with plasma exchange

, : Psychotic reaction as a manifestation of multiple sclerosis relapse treated with plasma exchange. Neurological Sciences 33(2): 379-382

We present a patient with a clinically isolated syndrome suggestive of multiple sclerosis, who developed a full-blown picture of paranoid psychosis with suicidal attempt. Four new lesions were observed on brain MRI, one in the left and one in the right temporal lobe, one subcortically in the cingulate gyrus and one centrally in the tegmentum of the midbrain. The patient was treated with plasma exchange and recovered completely. Psychosis is not so rare symptom of multiple sclerosis as previously reported, and poses a major treatment challenge. A combination of lesions at strategic locations was a presumed mechanism of psychosis in this patient.


PMID: 21796428

DOI: 10.1007/s10072-011-0712-3

Other references

Meyerholz, D.K.; Hostetter, S.J., 2005: Unilateral perinephric pseudocyst secondary to hydronephrosis in a C57BL/6J mouse. A 9-month-old C57BL/6J mouse had progressive abdominal distension over a 1-week period, and a distended left renal capsule was discovered at postmortem examination. Incision of the capsule showed a tan, cloudy fluid that separated the renal capsul...

Andrea Hampel; Juergen Adam; Nina Kukowski, 2004: Response of the tectonically erosive south Peruvian Forearc to subduction of the Nazca Ridge; analysis of three-dimensional analogue experiments. Tectonics 23(5)

Frera, C., 1969: Supratentorial extradural haematomas secondary to ventricular decompression. Acta Neurochirurgica 20(1): 31-35

Bassano, C.; Fratticci, L.; Del Giudice, C.; Andò, G.; D.P.ulis, R.; Nardi, P.; E.F.khri, F.; Chiariello, L., 2006: Ectasia of the ascending aorta at the time of aortic valve surgery: replace or relax?. The fate of aortic ectasia associated with aortic valve disease is usually derived from the natural history of primitive aortic aneurysm. We evaluated the evolution of untreated aortic dilation following aortic valve replacement and analyzed risk...

Hiemke, C.; Shams, M., 2013: Phenotyping and genotyping of drug metabolism to guide pharmacotherapy in psychiatry. In psychiatry, around 130 drugs are available which have been detected and developed during the last 60 years. These drugs are effective and essential for the treatment of many psychiatric disorders and symptoms. Therapeutic outcomes, however, are...

Pasaje, C.Flerida.A.; Bae, J.Seol.; Park, B-Lae.; Cheong, H.Sub.; Kim, J-Hyun.; Uh, S-Taek.; Park, C-Sik.; Shin, H.Doo., 2012: WDR46 is a Genetic Risk Factor for Aspirin-Exacerbated Respiratory Disease in a Korean Population. The human WD repeat-containing protein 46 (WDR46; also known as C6orf11), located at the disease-relevant centromere side of the class II major histocompatibility complex region, is hypothesized to be associated with risk of aspirin-exacerbated re...

Yasar, S.; Schuchman, M.; Peters, J.; Anstey, K.J.; Carlson, M.C.; Peters, R., 2016: Relationship Between Antihypertensive Medications and Cognitive Impairment: Part I. Review of Human Studies and Clinical Trials. There is an established association between hypertension and increased risk of poor cognitive performance and dementia including Alzheimer's disease; however, associations between antihypertensive medications (AHMs) and dementia risk are less...

Spies, G., 1988: Kaiser von Mexiko oder Kalifornien-Engelfisch, HolocanthusHolacanthus passer. Aquarien- und Terrarien-Zeitschrift 41.8: 313

Anonymous, 1969: THAI-AUSTRALIAN CHAO PHYA RESEARCH PROJECT. First report to the Ministry of Agriculture of the Kingdom of Thailand. Part B. The Cao Phya Research Project is concerned with studying the agricultural problems of introducing a 2nd crop to the Central Plain of Thailand in the dry season.

Bonafede, R.P.; Benatar, S.R., 1987: Bronchocentric granulomatosis and rheumatoid arthritis. We report a 42-year-old patient with an 11-year history of rheumatoid arthritis (RA) who presented 8 years later with haemoptysis and was found to have multiple pulmonary opacities with histological features of bronchocentric granulomatosis (BCG)....