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Cotard’s syndrome: two cases of self-starvation
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Resumo(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.
Descrição
Palavras-chave
Cotard's syndrome Anorexia Nervosa Síndrome de Cotard
Contexto Educativo
Citação
Psilogos. 2015; 13(1): 106-123