Bipolar Camouflage: A Cerebellar Cognitive Affective Syndrome Case Report.
Acta Med Port
; 37(9): 647-651, 2024 Sep 02.
Article
em En
| MEDLINE
| ID: mdl-39022812
ABSTRACT
The cerebellar cognitive affective syndrome is a neuropsychiatric syndrome composed of affective (anxiety, depression, euphoria, and emotional lability) and cognitive symptoms (executive, attentional, and visuospatial deficits) that was described in the 1990s. We present the case of a 49-year-old woman with a history of an acute neurological episode at the age of 28, after which she reported a change in personality, brief and alternating periods of depression, hypomania, and mixed episodes, and cognitive impairment that had a major impact on her personal and occupational level of functioning. She was initially diagnosed with bipolar disorder, but a clinical, neuropsychological, and imaging re-evaluation prompted a diagnostic reconsideration in favor of a cerebellar cognitive affective syndrome. This enabled therapeutical and prognostic refinement. Here, we discuss the diagnostic challenges of this syndrome and the implications that an accurate diagnosis has for patients.
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Base de dados:
MEDLINE
Assunto principal:
Transtorno Bipolar
Limite:
Female
/
Humans
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article