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Cycloid psychosis

Published online by Cambridge University Press:  13 August 2021

R. Hernandez Anton ,
L. Aranguren Conde ,
M. Basteguieta Gardeazábal ,
P. Antía Ozcariz ,
N. Cancelo Zariquiey ,
N. De Sousa Figueiredo  and
V. Fronda Salinas
R. Hernandez Anton*
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
L. Aranguren Conde
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
M. Basteguieta Gardeazábal
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
P. Antía Ozcariz
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
N. Cancelo Zariquiey
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
N. De Sousa Figueiredo
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
V. Fronda Salinas
Affiliation:
PsiquiatrÍa, COMPLEJO HOSPITALARIO DE NAVARRA, PAMPLONA, Spain
*
*Corresponding author.

Abstract

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Introduction

When we talk about cycloid psychosis we have doubts about their nosological enclave; whether they should be considered as a subform of schizophrenia or as independent psychoses.Some solutions were proposed, such as the thesis of mixed psychoses (Kretschmer) or that of intermediate forms (Bleuler, Schneider). Cycloid psychoses and bouffée delirante are recognized in ICD-10 under the name of acute polymorphic disorder without symptoms of schizophrenia (F23.0) and with symptoms of schizophrenia (F23.1).

Objectives

Clinical case

Methods

We present the case of a 16-year-old patient with no psychiatric history, with medical background of epilepsy; she was in fllow-up by Neurology and in treatment with valproate.Neurology indicates to stop treatment; it is then whwn the patient begins to appear disoriented, confused, with significant anguish and lability and regressive behaviors.She has sudden mood swings (from laughing to crying); sudden changes in emotional reaction (from distress to anger) and sudden changes in behavior (from agitation to prostration); verbiage with pressure of speech and dysprosodia; delusional ideation and incongruous affect; visual, auditive and kinesthetic hallucinations with important repercussion. We request blood and urine tests, drug test, EEG, cranial MRI.

Results

She presents fluctuating, polymorphic and unstable affective and psychotic symptoms. What is the most appropriate diagnosis? We treat the patient with antipsychotic, mood stabilizer and anxiolytic treatment.

Conclusions

Psychopathology in early ages is not so clearly defined and it can take very different forms. The diagnosis of cycloid psychosis can be useful as well as necessary to describe certain patients with similar characteristics and different from other groups.

Disclosure

No significant relationships.

Keywords

cycloid psychosisKretschmerBleulerSchneider
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S641
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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