Evidence map›Paper›PMID 30744594›Full record

ArticleBMC psychiatry2019

The use of quetiapine in treatment of acute psychotic symptoms in an adolescent patient with primary brain calcification: a case report.

Barbara Plemeniti Tololeski, Maruša Debeljak, Mirjana Perkovič Benedik, Tristan Rigler, Marinos Kyriakopoulos, Primož Kotnik, Katarina Šurlan Popovič, Maja Drobnič Radobuljac

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Barbara Plemeniti TololeskiCentre for Mental Health, Unit for Adolescent Psychiatry, University Psychiatric Hospital Ljubljana, Grablovičeva 44a, 1000, Ljubljana, Slovenia.
Maruša DebeljakUnit for Special Laboratory Diagnostics, University Medical Centre Ljubljana, University Children's Hospital, Vrazov trg 2, 1000, Ljubljana, Slovenia.
Mirjana Perkovič BenedikDepartment of Pediatric Neurology, University Medical Centre Ljubljana, University Children's Hospital, Bohoričeva ulica 20, 1000, Ljubljana, Slovenia.
Tristan RiglerCentre for Mental Health, Unit for Adolescent Psychiatry, University Psychiatric Hospital Ljubljana, Grablovičeva 44a, 1000, Ljubljana, Slovenia.
Marinos KyriakopoulosSouth London and Maudsley NHS Foundation Trust, National and Specialist Inpatient Children's Unit (Acorn Lodge), Tyson East Two, Bethlem Royal Hospital, Monks Orchard Road, London, BR3 3BX, UK.
Primož KotnikMedical Faculty, Chair of Pediatrics, University of Ljubljana, Bohoričeva ulica 20, 1000, Ljubljana, Slovenia.
Katarina Šurlan PopovičInstitute of Radiology, University Medical Centre Ljubljana, Zaloška cesta 7, 1000, Ljubljana, Slovenia.
Maja Drobnič RadobuljacCentre for Mental Health, Unit for Adolescent Psychiatry, University Psychiatric Hospital Ljubljana, Grablovičeva 44a, 1000, Ljubljana, Slovenia. maja.radobuljac@psih-klinika.si.ORCID 0000-0002-0906-1710
Ljubljana University Medical Centre · SIUniversity of Ljubljana · SIUniversity Psychiatric Hospital · SIKing's College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary brain calcification (PBC), a neurodegenerative disorder with characteristic calcium deposits in the basal ganglia and other brain areas, typically presents with various neurological and psychiatric symptoms in the fourth or fifth decade of life or later. We present the case of a patient with psychiatric manifestations much earlier than usual, in the second decade of life. CASE PRESENTATION: The case of an adolescent female with acute psychotic symptoms, emotional instability, disorganized and suicidal behavior, stereotypical movements, below average intelligence and a three-year history of headaches is reported. Among others, the presentation included tactile hallucinations with secondary hypochondriacal delusions, which are rarely described in this diagnosis. Massive calcinations in the area of the basal ganglia and thalamus were determined by computerized tomography. Other causes of brain calcification were excluded. No causative mutations were found in selected genes. All the symptoms apart from lower intellectual abilities improved with quetiapine and sertraline. The patient showed no side effects.

conclusionsThis case report highlights the successful use of quetiapine for symptomatic treatment of acute psychosis due to PBC in an adolescent without exacerbating extrapyramidal symptoms.

Indexed as

AdolescentAdolescent BehaviorBrain DiseasesCalcinosisFemaleHumansPsychotic DisordersQuetiapine FumarateQuetiapine FumarateAcute psychosisAdolescentPrimary brain calcificationQuetiapine

Identifiers

PMID30744594
PMCPMC6371472
OpenAlexW2921435718

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.