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Attempted infanticide and suicide inaugurating catatonia associated with Hashimoto’s encephalopathy: a case report

Overview of attention for article published in BMC Psychiatry, January 2016
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Title
Attempted infanticide and suicide inaugurating catatonia associated with Hashimoto’s encephalopathy: a case report
Published in
BMC Psychiatry, January 2016
DOI 10.1186/s12888-016-0719-7
Pubmed ID
Authors

Laurence Lalanne, Marie-Emmanuelle Meriot, Elisabeth Ruppert, Marie-Agathe Zimmermann, Jean-Marie Danion, Pierre Vidailhet

Abstract

Catatonia is a neuropsychiatric syndrome with motor and behavioural symptoms. Though usually occuring in patients with schizophrenia and mood disorders, this syndrome may also be associated with neurological diseases or general medical conditions. Few cases of catatonia associated with autoimmune disorders have been described. Here, we report the case of a 27-year-old woman diagnosed with Hashimoto's encephalitis (HE) who attempted suicide and infanticide by defenestration. As she presented risk factors for postpartum psychosis, she was treated principally with antipsychotics. Despite adequate treatment for psychosis, symptoms worsened and she developed catatonia. Complementary investigations showed elevated titres of anti-thyroglobulin and anti-thyroperoxidase antibodies (200 and 10 times, respectively, as compared to normal levels) and electroencephalography were suggestive of encephalopathy. In the presence of an otherwise unexplained neuropsychiatric condition, HE was suspected and oral prednisolone was introduced. Psychiatric symptoms improved dramatically within 72 h and the patient was still free of any symptom 3 years later. Catatonia of organic aetiology should always be considered before a psychiatric aetiology especially in case of clinical worsening in spite of adequate psychotropic treatment. To our knowledge, this is the first description of catatonia associated with HE.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 98 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 98 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 17 17%
Student > Ph. D. Student 10 10%
Student > Master 10 10%
Student > Doctoral Student 9 9%
Student > Bachelor 9 9%
Other 16 16%
Unknown 27 28%
Readers by discipline Count As %
Medicine and Dentistry 26 27%
Psychology 13 13%
Neuroscience 11 11%
Nursing and Health Professions 3 3%
Agricultural and Biological Sciences 2 2%
Other 5 5%
Unknown 38 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2017.
All research outputs
#15,220,103
of 25,443,857 outputs
Outputs from BMC Psychiatry
#3,368
of 5,466 outputs
Outputs of similar age
#204,765
of 403,411 outputs
Outputs of similar age from BMC Psychiatry
#43
of 65 outputs
Altmetric has tracked 25,443,857 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 5,466 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.3. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 403,411 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 47th percentile – i.e., 47% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 65 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.