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Inicio Revista Colombiana de Psiquiatría Psicosis orgánica en una paciente con encefalopatía reversible posterior
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Vol. 39. Núm. 4.
Páginas 782-802 (diciembre 2010)
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Vol. 39. Núm. 4.
Páginas 782-802 (diciembre 2010)
Reporte de caso
Acceso a texto completo
Psicosis orgánica en una paciente con encefalopatía reversible posterior
Organic Psychosis in a Patient with Posterior Reversible Encephalopathy Syndrome
Visitas
6990
Diana Restrepo1, Ángela Rodríguez2, Carlos Cardeño3,
Autor para correspondencia
ccardeno@une.net.co

Correspondencia: Carlos Cardeño, Servicio de Psiquiatría, Hospital Universitario San Vicente de Paúl, Calle 64 N°. 51D-38, bloque D, Medellín, Colombia
1 Médica. Fellow de Psiquiatría de Enlace, Pontificia Universidad Javeriana, Bogotá, Colombia. Psiquiatra de Enlace en el Hospital Universitario San Vicente de Paúl. Medellín, Colombia
2 Médica psiquiatra, Universidad de Antioquia. Medellín, Colombia
3 Médico psiquiatra de Enlace en el Hospital Universitario San Vicente de Paúl, Medellín, Colombia. MSc Farmacología. Especialista en Psiquiatría de Enlace, Pontificia Universidad Javeriana, Bogotá, Colombia. Docente coordinador de Psiquiatría de Enlace Universidad de Antioquia. Medellín, Antioquia
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Información del artículo
Resumen
Introducción

La presencia de enfermedad somática y alteración mental de tipo psicótico permite considerar la posibilidad de una psicosis orgánica.

Objetivo

Discutir el curso clínico de una paciente con psicosis orgánica asociada a una encefalopatía reversible posterior (PRES) por síndrome nefrótico.

Método

Reporte de caso.

Resultados

Se reseña el caso de una adolescente de 14 años de edad con síndrome nefrótico, emergencia hipertensiva y estatus convulsivo. Al recuperar la conciencia, presentó cambios agitación psicomotora y cambios comportamentales con síntomas psicóticos.

Discusión y conclusiones

La sospecha de psicosis orgánica debe orientar al clínico a detectar causas potencialmente corregibles.

Palabras clave:
psicosis
encefalopatías PRES
síndrome nefrótico
Abstract
Introduction

The presence of somatic illness and mental deterioration with psychosis suggests the possibility of organic psychosis.

Objective

To discuss the clinical course of a patient with organic psychosis associated with posterior reversible encephalopathy (PRES) due to nephrotic syndrome.

Method

Case report.

Results

We report a 14-year-old girl with nephrotic syndrome, hypertensive emergency, and convulsive status. Regaining consciousness introduced behavioral changes with psychomotor agitation and psychotic symptoms.

Discussion and Conclusions

The suspicion of organic psychosis should guide the clinician to identify potentially correctable causes.

Key words:
Psychosis
brain diseases
PRES
nephrotic syndrome
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Conflicto de interés: los autores manifiestan que no tienen conflictos de interés en este artículo.

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