Journals / Türk Psikiyatri Dergisi / 2018 / Cilt: 29 - Sayı: 3

Meta-Cognitive Ability and Brain Damage in Autoimmune Encephalitis: A Case Report

Otoimmün Ensefalitte Beyin Hasarı ve Üst Bilişsel Beceri: Bir Olgu Sunumu

Pages
216–219
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our findings revealed an improvement in the performance of the individual tests after rehabilitative training.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Autoimmune encephalitis is an important contributor to rapidly progressive cognitive and behavioral decline.
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Key Findings & Data:We reported a case of 22 year-old female patient with autoimmune encephalitis, cognitive behavioral impairments, and severe reduction in metarepresentational capacity.
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Conclusion & Impact:Our findings revealed an improvement in the performance of the individual tests after rehabilitative training.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Autoimmune encephalitis is an important contributor to rapidly progressive cognitive and behavioral decline. The purpose of this work was to evaluate the effects of cognitive rehabilitation in a patient with autoimmune encephalitis. We also wanted to evaluate the effectiveness of rehabilitative treatment by monitoring the cognitive and meta-cognitive outcomes over a time interval. We reported a case of 22 year-old female patient with autoimmune encephalitis, cognitive behavioral impairments, and severe reduction in metarepresentational capacity. We performed an assessment of personality, neuropsychological, and meta-cognitive functions at the beginning of the rehabilitative training. The last evaluation was performed six months after the discharge from the rehabilitation unit. We applied a combination of remediation, psycho-educational treatment, and psychotherapy to improve the knowledge and the empathy of the patient, to promote the selfcontrol strategies, and to prompt better behavioral management. Our findings revealed an improvement in the performance of the individual tests after rehabilitative training.

Özet

Otoimmün ensefalit hızla ilerleyen bilişsel ve davranışsal yıkımla sonuç-lanır. Bu çalışmanın amacı otoimmün ensefaliti olan bir hastada bilişsel rehabilitasyonun etkilerini ve rehabilitasyonun bilişsel ve üstbilişsel so-nuçlarını izleyerek tedavinin etkinliğini değerlendirmektir. Bu olgu sunumunda bilişsel ve davranışsal bozukluğu ve üst-temsil kapasit esinde (meta-representational capacity) ciddi azalma olan oto-immün ensefalit tanılı 22 yaşında bir kadın hasta tartışılmıştır. Kişilik, nöropsikolojik ve üstbilişsel işlevler rehabilitasyon alıştırmalarının ba-şında değerlendirilmiştir. Son değerlendirme rehabilitasyon ünitesinden taburcu olduktan altı ay sonra gerçekleştirilmiştir. Remediasyon ve psi-koeğitim ve psikoterapi hastanın kendisini kontrol etme stratejilerini ve davranışlarını daha iyi yönetmesini desteklemek amacı ile birlikte kullanmıştır. Bulgularımız rehabilitasyon alıştırmalarından sonra her bir testte performans artışı olduğunu göstermektedir.

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Cite This Article

CORALLO, F., BUONO, V. L., BONANNO, L., SALVO, S. D., SERGI, G., BRAMANTI, P., MARINO, S. (2018). Meta-Cognitive Ability and Brain Damage in Autoimmune Encephalitis: A Case Report. Türk Psikiyatri Dergisi, Cilt: 29 - Sayı: 3, 216–219. https://ajindex.com/articles/91570

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References (13)

  1. Young JA (2007) Pain and traumatic brain injury. Phys Med Rehabil Clin N Am 18:145-63.
  2. Venkatesan A, Benavides DR (2015) Autoimmune encephalitis and its relation to infection. Curr Neurol Neurosci Rep 15:3. Singh TD, Fugate JE, Rabinstein AA (2015) The spectrum of acute encephalitis Causes, management, and predictors of outcome. Neurology 84:359-66.
  3. Shimamura AP (2000) Toward a cognitive neuroscience of metacognition. Conscious Cogn 9:313-23.
  4. Raschilas F, Wolff M, Delatour F ve ark. (2002) Outcome of and prognostic factors for herpes simplex encephalitis in adult patients: results of a multicenter study. Clin Infect Dis 35:254-60.
  5. Ott BR, Lafleche G, Whelihan WM ve ark. (1996) Impaired awareness of deficits in Alzheimer disease. Alzheimer Disease & Associated Disorders 10:68-76.
  6. Moorthi S, Schneider WN, Dombovy ML (1999) Rehabilitation outcomes in encephalitis: a retrospective study 1990-1997. Brain Inj 13:139-46.
  7. Mondini S, Mapelli D, Vestri A ve ark. (2003) ENB esame neuropsicologico breve. Milan, Italy: Raffaello Cortina. Lou HC, Changeux JP, Rosenstand A (2016) Towards a cognitive neuroscience of self-awareness. Neurosci Biobehav Revdoi: 10.1016/j. neubiorev. 2016.04.004. Lewis P, Glaser CA (2005) Encephalitis. Pediatr Rev 26:353-63.
  8. Kayser MS, Dalmau J (2011) The Emerging Link Between Autoimmune Disorders and Neuropsychiatric Disease. J Neuropsychiatry Clin Neurosci 23:90–7.
  9. Hamilton M (1959) The assessment of anxiety states by rating. Br J Med Psychol 32:50–5.
  10. Halperin J (2008) Encephalitis Diagnosis and Treatment (Neurological Disease and Therapy), London: Informa Healthcare. Ghisi M, Flebus GB, Montano A ve ark. (2006) Beck Depression Inventory. 2nd ed. Florence, Italy: Adattamento Italiano: Manuale, Organizzazioni Speciali. Fleming SM, Ryu J, Golfinos JG ve ark. (2014) Domain-specific impairment in metacognitive accuracy following anterior prefrontal lesions. Brain, 137:2811-22.
  11. Dodd KC, Michael BD, Ziso B ve ark. (2015) Herpes simplex virus encephalitis in pregnancy - a case report and review of reported patients in the literature. BMC Res Notes 8:118. Dewar BK, Williams WH (2007) Encephalitis: Assessment and Rehabilitation Across the Lifespan. A Special Issue of the journal Neuropsychological Rehabilitation. Editor by Psychology Press.
  12. Chiou KS, Carlson RA, Arnett PA ve ark. (2011) Metacognitive monitoring in moderate and severe traumatic brain injury. J Int Neuropsychol Soc 17:720-31
  13. Cella M, Dymond S, Cooper A ve ark. (2012) Cognitive decision