%0 Journal Article
%T Psicosis cicloides: a prop車sito de dos probables casos Cycloid psychosis: regarding two probable cases
%A Lizardo Cruzado D
%A Jos谷 Rond車n de la Jara
%A Renzo Paima R
%A Miguel S芍nchez F
%J Revista Chilena de Neuro-Psiquiatr赤a
%D 2012
%I Sociedad de Neurolog赤a, Psiquiatr赤a y Neurocirug赤a
%X Los casos de psicosis aguda que durante el seguimiento longitudinal no re迆nen criterios de esquizofrenia ni de psicosis afectivas son frecuentes en la pr芍ctica cl赤nica habitual; sin embargo, pueden ser catalogados dentro de categor赤as diagn車sticas que no representan de modo suficiente su individualidad nosol車gica. Este grupo intermedio de psicosis: caracterizado por su inicio agudo, curso usualmente breve, sintomatolog赤a polim車rfica y recuperaci車n sin defecto, ha sido concebido en diferentes escuelas psiqui芍tricas mediante diferentes conceptos: en tal sentido, el constructo de Psicosis Cicloides, proveniente de la psiquiatr赤a alemana, ha demostrado validez y se halla engarzado en un sistema diagn車stico heur赤sticamente valioso (el de Wernicke-Kleist-Leonhard). A prop車sito de dos casos representativos, revisamos la literatura pertinente y resaltamos la necesidad de considerar esta posibilidad diagn車stica, a fin de evitar prolongados y potencialmente perjudiciales tratamientos antipsic車ticos, prescritos bajo hip車tesis incorrectas y gravosas. Cases of acute psychosis which during longitudinal follow-up did not meet criteria for schizophrenic psychosis or affective psychosis are common in clinical practice; however, those cases can be classified into diagnostic categories that are not sufficiently representative of their nosological individuality. This intermediate group of psychosis: characterized by acute onset, usually brief course, polymorphic symptomatology and recovery without defect, has been conceived in different psychiatric schools through different concepts: in this sense, the construct of Cycloid Psychoses, original from German psychiatry, has demonstrated validity and is embedded in a heuristically profitable diagnostic system (the Wernicke-Kleist-Leonhard classification). Apropos of two representative cases, we review here the relevant literature and highlight the need to consider this diagnostic possibility - not fully considered in the present diagnostic systems yet- in order to avoid prolonged antipsychotic treatments based on unnecessarily ominous nosological hypothesis.
%K Trastornos psic車ticos
%K Esquizofrenia y trastornos con caracter赤sticas psic車ticas
%K Psychotic disorders
%K acute and transient psychotic disorders
%K schizophrenia
%U http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-92272012000200004