Cotard’s Syndrome in Adolescence: A Case Report

Author:

Almeida Barradas NádiaORCID,Meira Nisa MadalenaORCID,Marques MargaridaORCID

Abstract

Cotard’s syndrome is a rare neuropsychiatric condition characterized by nihilistic and hypochondriacal delusions that generally occur in individuals with some predisposition or in association with a psychiatric or organic disease. Its development is even more unusual in pediatric population.The purpose of this paper is to briefly review the available scientific evidence, based on the description of a clinical case. Data were obtained from clinical records and a careful search and analysis on the electronic databases PubMed and Embase. We illustrate the case of a 15-year-old female adolescent with Cotard’s syndrome in the context of an adjustment disorder. Cotard’s syndrome can be associated with chronicity, self-neglect and suicide, but a prompt diagnosis and treatment can promote a good outcome. This case shows how the use of antipsychotics complemented by psychotherapeutic and psychoeducational interventions can promote a complete remission of the condition.

Publisher

Sociedade Portuguesa de Psiquiatria e Saude Mental

Reference14 articles.

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2. Sousa L, Oliveira S, Bastos L. Revisitando a Síndrome de Cotard: Ilustração de Dois Casos Clínicos Psiquiátricos. Rev Serv Psiquiatria Hosp Prof Doutor Fernando Fonseca. 2015; 13:67-77.

3. Morgado P, Ribeiro R, Cerqueira JJ. Cotard Syndrome without Depressive Symptoms in a Schizophrenic Patient. Case Rep Psychiatry. 2015;2015:643191. doi: 10.1155/2015/643191.

4. Sahoo A, Josephs KA. A Neuropsychiatric Analysis of the Cotard Delusion. J Neuropsychiatry Clin Neurosci. 2018;30:58-65. doi: 10.1176/appi. neuropsych.17010018.

5. Gramary A, Romero JM, Venâncio A, Moreira M, Oliveira MJ. Delírio de negação de Cotard. Acta Med Port. 2004;17:106-8.

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