[Cycloid psychoses. A case report].
Cycloid psychoses, described by Leonhard, have a sudden onset, unstable polymorphic delusion symptomatology, labile state of consciousness, lack of physical symptoms, quick remission with no residual mental abnormalities and normality between episodes. Leonhard distinguished three clinical forms: anxiety-happiness psychosis, excited-inhibited confusion psychosis and hyperkinetic-akinetic motility psychosis. The essential characteristics of this clinical subtypes are: polymorphism, global disturbance of psychic life, acute appearance of symptoms, total insomnia 3 days before onset of symptomatology, intra and interepisode lability, polar structure, tendency to repetition of episodes (phases) and a good long-term prognosis. We present a patient's clinical history and evolution that illustrate the characteristics of this kind of endogenous psychoses.
Dolengevich Segal
H
H
Servicio de Psiquiatría, Hospital Ramón y Cajal, Universidad de Alcalá, Madrid. edolen@ya.com
Saiz Ruiz
J
J
D000328:Adult; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D000077152:Olanzapine; D010507:Periodicity; D011618:Psychotic Disorders / Q000188:drug therapy* / Q000523:psychology*
D014150:Antipsychotic Agents; D001569:Benzodiazepines; D000077152:Olanzapine