Severe impulsiveness as the primary manifestation of multiple sclerosis in a young female

@article{LpezMeza2005SevereIA,
  title={Severe impulsiveness as the primary manifestation of multiple sclerosis in a young female},
  author={Elmer L{\'o}pez-Meza and Teresa Corona-V{\'a}zquez and Luis Angel Ruano-Calder{\'o}n and Jes{\'u}s Ram{\'i}rez-Berm{\'u}dez},
  journal={Psychiatry and Clinical Neurosciences},
  year={2005},
  volume={59}
}
Abstract  Severe impulsiveness in the absence of apparent neurological signs has rarely been reported as a clinical presentation of multiple sclerosis (MS). An 11‐year‐old female developed progressive and sustained personality disturbances including disinhibition, hypersexuality, drug abuse, aggressiveness and suicide attempts, without neurological signs. She was given several unsuccessful psychopharmacological and psychotherapeutic interventions. At age 21, a diagnosis of MS was made… 
View on Wiley
onlinelibrary.wiley.com
17 Citations
Highly Influential Citations
1
Background Citations
2
Results Citations
1

17 Citations

Citation Type

Citation Type

Use of Aripiprazole in a Patient With Multiple Sclerosis Presenting With Paranoid Psychosis
TLDR
A 46-year-old African-American female diagnosed with MS who was admitted with delusional and paranoid behavior is reported to have demonstrated a reduction in paranoid behavior and delusional thinking after 3 days of treatment with oral aripiprazole.
Thalamic atrophy correlates with dysfunctional impulsivity in multiple sclerosis.
Impulsivity in multiple sclerosis: A paired case-control study
TLDR
Impulsivity was significantly higher in MS patients than in normal controls and this difference in cognitive impulsivity continued after the effect of depression stabilized, suggesting approaches that take into account impulsivity may be useful in the treatment of MS.
Mental disorders in Mexican patients with multiple sclerosis.
The authors aim to explore psychiatric disorders in Mexican patients with multiple sclerosis. The Structured Clinical Interview for DSM-IV Axis I Disorders, the Montgomery-Asberg Depression Rating…
Pediatric Klüver-Bucy Syndrome: Report of Two Cases and Review of the Literature.
TLDR
Two new encephalitis-associated pediatric patients are reported and all of the pediatric KBS cases in the literature are reviewed to better describe the clinical features of this rare neurobehavioral condition.
Catatonia and klüver-bucy syndrome in a patient with acute disseminated encephalomyelitis.
TLDR
A young woman who attended the National Institute of Neurology and Neurosurgery of Mexico with acute disseminated encephalomyelitis, a clinical entity with relevant white matter damage, presenting with acute catatonia and chronic KBS is presented.
Klüver–Bucy syndrome after unilateral frontotemporal resection in a child with tuberous sclerosis
TLDR
A case of Klüver–Bucy syndrome is presented in a 2-year-old boy with tuberous sclerosis complex (TSC) after left frontotemporal resection for refractory epilepsy, the first KBS after unilateral temporal resection in a child, although it has already been reported in two adult cases.
Tumefactive Multiple Sclerosis: A Case Report
TLDR
A 28 years‐old female patient presented with clinic al and radiological findings which initially were suggestive of a tumor or an aggressive infectious p rocess, but revealed multiple sclerosis after a stereotactic brain biopsy.
fMRI investigation of disinhibition in cognitively impaired patients with multiple sclerosis
Impulsive behavior in drug addiction: Clinical, cognitive, and neural correlates
...
...

References

SHOWING 1-10 OF 24 REFERENCES
Pure neuropsychiatric presentation of multiple sclerosis.
Psychotic Illness in Multiple Sclerosis
TLDR
There was a trend for the psychotic group to have a higher total lesion score, particularly around the periventricular areas, and this reached statistical significance in the areas around the temporal horn.
An Investigation into some Psychiatric Aspects of Multiple Sclerosis
  • D. Surridge
  • Psychology, Medicine
    British Journal of Psychiatry
  • 1969
The psychiatric aspects of multiple sclerosis (MS) have been given considerable attention in the literature over the past 130 years. There has, however, been little unanimity of opinion as to the…
Multiple sclerosis presenting with acute remitting psychiatric symptoms.
  • W. Matthews
  • Psychology, Medicine
    Journal of neurology, neurosurgery, and psychiatry
  • 1979
Two patients are described in whom acute symptoms of apparently primary psychiatric disease could be diagnosed in retrospect as due to multiple sclerosis. In both patients the initial symptoms…
Mood disorder and multiple sclerosis.
TLDR
A systematic psychiatric evaluation was performed on 100 consecutive patients attending a multiple sclerosis clinic, finding that two-thirds had lifetime history of depression, and 13% fulfilled criteria for manic-depressive illness.
Temporal lobe involvement in multiple sclerosis patients with psychiatric disorders.
TLDR
A role for the cerebral lesions themselves, particularly those in the temporal lobes, in the genesis of psychiatric disorders in MS is indicated.
Disease activity and emotional state in multiple sclerosis
TLDR
In the group of MS patients in remission, somatic complaints, anxiety, and social dysfunction were more prevalent than symptoms of depression, and the prevalence of emotional disturbance was 90% in exacerbating or progressing patients, 39% in stable patients, and 12% in SCI control patients.
Neuropsychiatric manifestations of multiple sclerosis.
TLDR
It is concluded that diverse types of neuropsychiatric symptoms are common in MS; symptoms are present between exacerbations; and there are variable correlations with MRI abnormalities.
Affective disorders in multiple sclerosis. Review and recommendations for clinical research.
TLDR
English-language studies of euphoria, pathological laughing and weeping, depression, and bipolar disorder are presented, methodological limitations are described, and areas for future clinical research are suggested.
Unusual presentation of multiple sclerosis.
TLDR
A 29 year-old female referred to the outpatient department for extraction of a symptomatic, mesially inclined, partially erupted UR8 was diagnosed with multiple sclerosis, brought on by a minor procedure under local anaesthetic.
...
...