Abstract

CANAS, Carlos Alberto et al. A State of Possession-Like in a Patient with Flare of Systemic Lupus Erithematosus. rev.colomb.psiquiatr. [online]. 2010, vol.39, n.1, pp.203-210. ISSN 0034-7450.

Introduction: Symptoms and signs related to a state of "possession" have been associated with psychological disorders, but have not been described as manifestations of organic cerebral disease. Method: Case report of a 17 year-old female patient with episodic symptoms of a possession-like state manifested as aggressiveness, tremor, upper eye deviation, incoherent language, aversion to religious symbols, and demanding to be called by other names. Results: These symptoms were present during episodes of orthostatic hypotension, as a result of autonomic neuropathy developed in the context of a flare of systemic lupus erythematosus (SLE). Single photon emission computerized tomography (SPECT) with 99mTc-HmPAO in upright position showed an extensive ischemic area in the left brain. This study was normal in horizontal position, with normal blood pressure and normal mental status. Conclusion: An organic, cerebral-vascular cause of a possession-like state is described

Keywords : Conduct disorder; cerebrovascular circulation; systemic lupus erythematosus; orthostatic hypotension.

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