Should a psychotic or manic episode be considered an early manifestation of Multiple Sclerosis? A multiple case study. - Ecole Nationale du Génie de l'Eau et de l'Environnement de Strasbourg Accéder directement au contenu
Article Dans Une Revue Multiple Sclerosis and Related Disorders Année : 2016

Should a psychotic or manic episode be considered an early manifestation of Multiple Sclerosis? A multiple case study.

C Lebrun
  • Fonction : Auteur
G Castelnovo
  • Fonction : Auteur
C Clerc
  • Fonction : Auteur
M Debouverie
  • Fonction : Auteur
D Jouvenoz
  • Fonction : Auteur
M Marcel-Viallet
  • Fonction : Auteur
C Zaenker
  • Fonction : Auteur
H Zephir
  • Fonction : Auteur

Résumé

BACKGROUND: Early manifestations of Multiple Sclerosis (MS) can be atypical and misleading, and several case report studies have highlighted that MS onset sometimes takes the form of a psychotic or manic episode. METHODS: All neurologists belonging to the French Multiple Sclerosis Observatory network were contacted by email and were asked to find patients with MS who presented with a history of psychiatric episode(s) near MS onset. RESULTS: Seventeen patients were selected that met the criteria of presenting with psychotic or manic symptoms either before the diagnosis of MS (N=8), or at the time of the first neurological episode or shortly after (N=9). Patients with a history of a psychiatric episode occurring before the first neurological episode were diagnosed on average 7 years later than patients with either a first neurological or a mixed (both neurological and psychiatric) episode. However, psychiatric symptoms in the first group and the first neurological symptoms of MS in the second group occurred at a similar age. CONCLUSION: Based on this multiple case study, we question whether past psychotic or manic episode should be considered equivalent to a first manifestation of MS.
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Dates et versions

hal-03778566 , version 1 (15-09-2022)

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Fabrice Berna, Frédéric Blanc, C Lebrun, G Castelnovo, C Clerc, et al.. Should a psychotic or manic episode be considered an early manifestation of Multiple Sclerosis? A multiple case study.. Multiple Sclerosis and Related Disorders, 2016, 6, pp.93-96. ⟨10.1016/j.msard.2016.02.004⟩. ⟨hal-03778566⟩
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