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Publication
Cotard’s syndrome: two cases of self-starvation
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Authors
Advisor(s)
Abstract(s)
Introdução: A Síndrome de Cotard é uma
condição clínica relativamente rara que se caracteriza
por vários graus de delírios niilistas,
quase sempre na forma de auto-negação.
Objectivos: Descrever dois casos de Síndrome
de Cotard associados a recusa alimentar e realizar
uma revisão do conceito e das características
clínicas desta síndrome.
Métodos: Realizou-se a recolha de informa-
ção de dois casos clínicos associados a recusa
alimentar. Procedeu-se a uma revisão do
conceito e das características clínicas que lhe
estão associadas.
Resultados e Conclusões: O primeiro caso
versa sobre uma mulher que acreditava que
o seu esófago e estômago estariam colados.
Foi medicada com sertralina, mirtazapina e
risperidona, com bons resultados. O segundo
caso descreve um homem que acreditava
que a sua garganta fora queimada e que não
possuía nenhum órgão interno. Foi medicado
com clomipramina e risperidona, mostrando
grande melhoria. Esta síndrome é uma entidade
nosológica e clínica que não deve ser esquecida.
É essencial fornecer uma abordagem
terapêutica urgente e adequada em pacientes
com esta síndrome.
Background: Cotard´s syndrome is a relatively rare condition characterized by various degrees of nihilist delusions, often in the form of self-negation. Aims: To report two cases of Cotard’s syndrome associated with self-starvation and to review the concept and clinical features of the condition. Methods: Two clinical cases of the syndrome were obtained and a literature review of the theme was shortly surveyed. Results and Conclusions: The first case is about a woman who believed that her esophagus and stomach were glued. She was treated with sertraline, mirtazapine and risperidone with good results. The second case describes a man who believed his throat was burnt and he had no internal organs. He was treated with clomipramine and risperidone showing great improvement. This syndrome is a nosological and clinical entity that should not be forgotten. It is essential to provide an urgent and adequate therapeutic approach to these patients.
Background: Cotard´s syndrome is a relatively rare condition characterized by various degrees of nihilist delusions, often in the form of self-negation. Aims: To report two cases of Cotard’s syndrome associated with self-starvation and to review the concept and clinical features of the condition. Methods: Two clinical cases of the syndrome were obtained and a literature review of the theme was shortly surveyed. Results and Conclusions: The first case is about a woman who believed that her esophagus and stomach were glued. She was treated with sertraline, mirtazapine and risperidone with good results. The second case describes a man who believed his throat was burnt and he had no internal organs. He was treated with clomipramine and risperidone showing great improvement. This syndrome is a nosological and clinical entity that should not be forgotten. It is essential to provide an urgent and adequate therapeutic approach to these patients.
Description
Keywords
Cotard's syndrome Anorexia Nervosa Síndrome de Cotard
Citation
Psilogos. 2015; 13(1): 106-123
Publisher
Hospital Prof. Dr. Fernando Fonseca, E.P.E.