Abstract
Multiple sclerosis (MS) is frequently associated with a number of different psychiatric syndromes. Solely psychiatric syndrome may be the first clinical presentation of multiple sclerosis. We report a patient whose first attack was psychotic depression. The present case emphasizes that psychiatric symptoms can occur at any time during the course of the disease and, moreover, may be the presenting feature.
MeSH terms
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Adjuvants, Immunologic / therapeutic use
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Adult
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Affective Disorders, Psychotic / etiology
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Affective Disorders, Psychotic / pathology*
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Affective Disorders, Psychotic / physiopathology
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Antidepressive Agents / therapeutic use
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Antipsychotic Agents / therapeutic use
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Brain / pathology*
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Brain / physiopathology
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Depressive Disorder / etiology
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Depressive Disorder / pathology*
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Depressive Disorder / physiopathology
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Diagnosis, Differential
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Diagnostic Errors
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Disease Progression
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Female
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Humans
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Interferon beta-1a
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Interferon-beta / therapeutic use
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Magnetic Resonance Imaging
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Multiple Sclerosis / complications
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Multiple Sclerosis / pathology*
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Multiple Sclerosis / psychology
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Oligoclonal Bands / cerebrospinal fluid
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Optic Neuritis / etiology
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Selective Serotonin Reuptake Inhibitors / therapeutic use
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Treatment Failure
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Treatment Outcome
Substances
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Adjuvants, Immunologic
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Antidepressive Agents
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Antipsychotic Agents
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Oligoclonal Bands
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Serotonin Uptake Inhibitors
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Interferon-beta
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Interferon beta-1a