Meningo-encephalitis presenting as an acute paranoid psychosis

Thomas Wise, F. P. Le Buffe, S. I. Granger

Research output: Contribution to journalArticle

Abstract

A 27 year old woman with meningo-encephalitis and paranoid symptoms is presented. The patient was admitted to a psychiatric unit where, two months previously, her brother had been under treatment for a paranoid schizophrenic episode. The diagnostic lumbar puncture was performed after several days of increasing periods of disorientation, stupor, incontinence, posturing, and perseveration. There was no fever, no signs of meningeal irritation, and no localizing neurologic deficit. The problem of recognizing organic brain disease presenting as an acute psychotic episode is discussed. In this case, the positive family history was given inappropriate emphasis, while the good pre-morbid adjustment of the patient and the symptoms of confusion and headache were inadequately considered. Viral meningo-encephalitis, particularly that due to herpes simplex, often presents with a picture of behavioral abnormalities and minimal physical signs, and is easily confused with a functional process.

Original languageEnglish (US)
Pages (from-to)405-414
Number of pages10
JournalPsychiatry in Medicine
Volume8
Issue number4
StatePublished - Dec 1 1977
Externally publishedYes

Fingerprint

Paranoid Disorders
Confusion
Encephalitis
Viral Encephalitis
Social Adjustment
Stupor
Herpes Simplex
Spinal Puncture
Brain Diseases
Neurologic Manifestations
Headache
Psychiatry
Siblings
Fever
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wise, T., Le Buffe, F. P., & Granger, S. I. (1977). Meningo-encephalitis presenting as an acute paranoid psychosis. Psychiatry in Medicine, 8(4), 405-414.

Meningo-encephalitis presenting as an acute paranoid psychosis. / Wise, Thomas; Le Buffe, F. P.; Granger, S. I.

In: Psychiatry in Medicine, Vol. 8, No. 4, 01.12.1977, p. 405-414.

Research output: Contribution to journalArticle

Wise, T, Le Buffe, FP & Granger, SI 1977, 'Meningo-encephalitis presenting as an acute paranoid psychosis', Psychiatry in Medicine, vol. 8, no. 4, pp. 405-414.
Wise, Thomas ; Le Buffe, F. P. ; Granger, S. I. / Meningo-encephalitis presenting as an acute paranoid psychosis. In: Psychiatry in Medicine. 1977 ; Vol. 8, No. 4. pp. 405-414.
@article{691ced61d8d04d4483e8571e12637159,
title = "Meningo-encephalitis presenting as an acute paranoid psychosis",
abstract = "A 27 year old woman with meningo-encephalitis and paranoid symptoms is presented. The patient was admitted to a psychiatric unit where, two months previously, her brother had been under treatment for a paranoid schizophrenic episode. The diagnostic lumbar puncture was performed after several days of increasing periods of disorientation, stupor, incontinence, posturing, and perseveration. There was no fever, no signs of meningeal irritation, and no localizing neurologic deficit. The problem of recognizing organic brain disease presenting as an acute psychotic episode is discussed. In this case, the positive family history was given inappropriate emphasis, while the good pre-morbid adjustment of the patient and the symptoms of confusion and headache were inadequately considered. Viral meningo-encephalitis, particularly that due to herpes simplex, often presents with a picture of behavioral abnormalities and minimal physical signs, and is easily confused with a functional process.",
author = "Thomas Wise and {Le Buffe}, {F. P.} and Granger, {S. I.}",
year = "1977",
month = "12",
day = "1",
language = "English (US)",
volume = "8",
pages = "405--414",
journal = "International Journal of Psychiatry in Medicine",
issn = "0091-2174",
publisher = "Baywood Publishing Co. Inc.",
number = "4",

}

TY - JOUR

T1 - Meningo-encephalitis presenting as an acute paranoid psychosis

AU - Wise, Thomas

AU - Le Buffe, F. P.

AU - Granger, S. I.

PY - 1977/12/1

Y1 - 1977/12/1

N2 - A 27 year old woman with meningo-encephalitis and paranoid symptoms is presented. The patient was admitted to a psychiatric unit where, two months previously, her brother had been under treatment for a paranoid schizophrenic episode. The diagnostic lumbar puncture was performed after several days of increasing periods of disorientation, stupor, incontinence, posturing, and perseveration. There was no fever, no signs of meningeal irritation, and no localizing neurologic deficit. The problem of recognizing organic brain disease presenting as an acute psychotic episode is discussed. In this case, the positive family history was given inappropriate emphasis, while the good pre-morbid adjustment of the patient and the symptoms of confusion and headache were inadequately considered. Viral meningo-encephalitis, particularly that due to herpes simplex, often presents with a picture of behavioral abnormalities and minimal physical signs, and is easily confused with a functional process.

AB - A 27 year old woman with meningo-encephalitis and paranoid symptoms is presented. The patient was admitted to a psychiatric unit where, two months previously, her brother had been under treatment for a paranoid schizophrenic episode. The diagnostic lumbar puncture was performed after several days of increasing periods of disorientation, stupor, incontinence, posturing, and perseveration. There was no fever, no signs of meningeal irritation, and no localizing neurologic deficit. The problem of recognizing organic brain disease presenting as an acute psychotic episode is discussed. In this case, the positive family history was given inappropriate emphasis, while the good pre-morbid adjustment of the patient and the symptoms of confusion and headache were inadequately considered. Viral meningo-encephalitis, particularly that due to herpes simplex, often presents with a picture of behavioral abnormalities and minimal physical signs, and is easily confused with a functional process.

UR - http://www.scopus.com/inward/record.url?scp=0017584330&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0017584330&partnerID=8YFLogxK

M3 - Article

C2 - 212381

AN - SCOPUS:0017584330

VL - 8

SP - 405

EP - 414

JO - International Journal of Psychiatry in Medicine

JF - International Journal of Psychiatry in Medicine

SN - 0091-2174

IS - 4

ER -