An atypical onset in schizophrenia--case representation--/Un debut atipic in schizofrenie--prezentare de caz--

Citation metadata

Authors: Alexandra Bolos, Vasile Chirita and Roxana Chirita
Date: Sept. 2014
From: Bulletin of Integrative Psychiatry(Vol. 20, Issue 3)
Publisher: Institute of Psychiatry Socola, Iasi
Document Type: Clinical report
Length: 3,963 words

Main content

Abstract :

The onset of schizophrenia in children and adolescents is polymorphic and can be expressed by an acute psychosis, lucid or confused, by a surprising forensic act, by a depressive episode with or without suicidal ideas and attempts, by a manic episode, by a crisis of juvenile originality, by a neurotic condition, first without apparent dissociative phenomena, or by a hypochondriacal symptoms, dismorfophobia, by depersonalization and derealization phenomena, pathetically experienced by the patient. In this paper, we will present the case of a 37 years old male patient, that was diagnosed with schizophrenia, although the first signs and symptoms appeared at age of 14, but an insidious onset with obsessive-compulsive type manifestations, that had long evolution and were probably underdiagnosed. In schizophrenia, a large number of disabilitative symptoms and maladjusted behaviors appear from the prodromal phase, and highlighting some neurobiological mechanisms have spurred efforts to evaluate the possibilities of intervention even at this stage. If the prodrom could be recognized prospectively and treatment given at this stage, maybe a better evolution would be possible, with an improved long-term prognosis. KEYWORDS schizophrenia, prodrom, early diagnosis Debutul schizofreniei la copii si adolescenti este polimorf si poate fi exprimat printr-un episod psihotic acut, lucid sau confuziv, printr-un act medico-legal surprinzator, printr-o stare depresiva cu sau fara preocupari sau tentative suicidare, printr-o simptomatologie de tip maniacal, printr-o criza de originalitate juvenila, printr-o stare nevrotica, la inceput, fara fenomene disociative evidente sau printr-o simptomatologie hipocondriaca, dismorfofobica, prin fenomene de depersonalizare si de derealizare, lucide si traite penibil de catre pacient. In aceasta lucrare, vom prezenta cazul unui pacient de sex masculin care a fost diagnosticat cu schizofrenie la varsta de 37 de ani, desi simptomatologia a fost prezenta inca de la varsta de 14 ani, aceasta dezvoltandu-se insa insidios, cu manifestari de tip obsesiv-compulsiv, care au avut o evolutie indelungata si care, probabil, au fost subdiagnosticate. In schizofrenie, un important numar de simptome dizabilitante si de comportamente dezadaptative apar inca din faza prodromala, iar evidentierea inca din aceasta faza a unor modificari neurobiologice a impulsionat eforturile de a se evalua posibilitatile de interventie inca din acest stadiu. Daca prodromul ar putea fi recunoscut prospectiv si tratamentul administrat inca din acest stadiu, poate ar fi posibila o evolutie mai buna, cu un prognostic imbunatatit pe termen lung. CUVINTE-CHEIE schizofrenie, prodrom, diagnostic precoce

Source Citation

Source Citation
Bolos, Alexandra, et al. "An atypical onset in schizophrenia--case representation--/Un debut atipic in schizofrenie--prezentare de caz--." Bulletin of Integrative Psychiatry, vol. 20, no. 3, 2014, p. 55+. Accessed 10 May 2021.

Gale Document Number: GALE|A463634344