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Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease
المؤلفون المشاركون
Yumoto, Tetsuya
Naito, Hiromichi
Nakao, Atsunori
Otsuka, Yuki
Ihoriya, Hiromi
Matsumoto, Namiko
Sato, Kota
Abe, K.
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-29
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
Managing acutely agitated or violent patients in the emergency department (ED) represents a significant challenge.
Acute agitation as an initial manifestation of neuro-Behcet’s disease (NBD) is an extremely rare clinical entity.
A 44-year-old male, who had been complaining about a severe headache and fever for several days, was admitted to our ED due to acutely presented incontinence and agitation.
On admission, physical restraint and sedation with sevoflurane and propofol were required for his combative and violent behavior.
Cerebrospinal fluid examination revealed increased cell count.
Fluid attenuated inversion recovery magnetic resonance imaging showed a high intensity signal in the left parietal lobe and bilateral occipital lobe.
As infectious meningoencephalitis was suspected, empirical therapy was immediately started.
He recovered uneventfully without neurological defect in seven days.
Based on positive human leukocyte antigen B-51 and clinical manifestations, the diagnosis of NBD was made and remitted by steroid therapy.
Although acute NBD commonly presents with focal neurological symptoms, psychiatric symptoms could be considered the first manifestation.
A focused and thorough examination coupled with appropriate management strategies can assist emergency clinicians safely and effectively manage these patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Otsuka, Yuki& Yumoto, Tetsuya& Ihoriya, Hiromi& Matsumoto, Namiko& Sato, Kota& Abe, K.…[et al.]. 2018. Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease. Case Reports in Emergency Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143211
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Otsuka, Yuki…[et al.]. Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease. Case Reports in Emergency Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1143211
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Otsuka, Yuki& Yumoto, Tetsuya& Ihoriya, Hiromi& Matsumoto, Namiko& Sato, Kota& Abe, K.…[et al.]. Acute Agitation as an Initial Manifestation of Neuro-Behçet’s Disease. Case Reports in Emergency Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1143211
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1143211
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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