{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T11:14:54Z","timestamp":1698491694540},"reference-count":4,"publisher":"Akademiai Kiado Zrt.","issue":"43","license":[{"start":{"date-parts":[[2021,10,24]],"date-time":"2021-10-24T00:00:00Z","timestamp":1635033600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,10,24]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold> Az eml\u0151tumor miatt kezelt, majd gondozott beteget \u2013\n t\u00f6bb t\u00fcnetmentes \u00e9v ut\u00e1n \u2013 fejf\u00e1j\u00e1s, sz\u00e9d\u00fcl\u00e9s, ataxia, megv\u00e1ltozott, furcsa\n viselked\u00e9s, eml\u00e9kezetzavar \u00e9s dezorient\u00e1ci\u00f3 miatt neurol\u00f3giai, majd\n belgy\u00f3gy\u00e1szati oszt\u00e1lyokon vizsg\u00e1lt\u00e1k. Az alapos kivizsg\u00e1l\u00e1s ellen\u00e9re a t\u00fcneteit\n magyar\u00e1z\u00f3 organikus elt\u00e9r\u00e9st nem igazoltak, ugyanakkor m\u00e1r a kezdetekt\u0151l\n felmer\u00fclt a szomatiz\u00e1ci\u00f3s t\u00fcnetk\u00e9pz\u00e9s lehet\u0151s\u00e9ge, ez\u00e9rt pszichi\u00e1triai oszt\u00e1lyos\n felv\u00e9tel\u00e9re ker\u00fclt sor. Az elv\u00e9gzett vizsg\u00e1latok, illetve a klinikai k\u00e9p\n regressz\u00edv \u00e1llapotot val\u00f3sz\u00edn\u0171s\u00edtettek. Ter\u00e1pi\u00e1s pr\u00f3b\u00e1lkoz\u00e1saink ellen\u00e9re a\n p\u00e1ciens \u00e1llapota romlott, v\u00e9g\u00fcl a megism\u00e9telt neurol\u00f3giai vizsg\u00e1latok meningitis\n carcinomatos\u00e1t igazoltak. Az esettel szeml\u00e9ltetni k\u00edv\u00e1njuk, hogy a beteg\n premorbid m\u0171k\u00f6d\u00e9si n\u00edv\u00f3ja, szem\u00e9lyis\u00e9gstrukt\u00far\u00e1ja hogyan k\u00e9pes befoly\u00e1solni az\n ell\u00e1t\u00f3szem\u00e9lyzetet, milyen k\u00fcls\u0151 \u00e9s bels\u0151 konfliktusokat v\u00e1lthat ki. A\n diagn\u00f3zishoz vezet\u0151 folyamat bemutat\u00e1s\u00e1val fel k\u00edv\u00e1njuk h\u00edvni a figyelmet az\n interdiszciplin\u00e1ris egy\u00fcttm\u0171k\u00f6d\u00e9s fontoss\u00e1g\u00e1ra. Orv Hetil. 2021; 162(43):\n 1744\u20131748.<\/jats:p>\n Summary.<\/jats:bold> Our patient with known breast cancer in her past medical\n history was hospitalized \u2013 after several asymptomatic years \u2013 for headache,\n dizziness, ataxia, changed behaviour and disorientation. Thorough internal and\n neurologic investigations did not find any disease underlying her symptoms,\n therefore the possibility of somatization disorder was raised. Despite\n lege artis<\/jats:italic> therapeutic interventions carried out on the\n psychiatry ward, the patient\u2019s condition deteriorated and repeated neurological\n examinations eventually revealed carcinomatous meningitis. With this case, we\n would like to illustrate how the patient\u2019s premorbid function level and\n personality features might influence the attitude and opinion of the health care\n personnel, and what kind of external and internal conflicts might be triggered.\n By presenting the complexity of the diagnostic work-up, we would like to\n emphasize the importance of interdisciplinary cooperation in the interest of our\n patients. Orv Hetil. 2021; 162(43): 1744\u20131748.<\/jats:p>","DOI":"10.1556\/650.2021.32175","type":"journal-article","created":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T13:23:11Z","timestamp":1639401791000},"page":"1744-1748","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["A meningitis carcinomatosa komplex megjelen\u00e9se"],"prefix":"10.1556","volume":"162","author":[{"given":"Bogl\u00e1rka","family":"Orb\u00e1n-Szigeti","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Pszichi\u00e1triai \u00e9s Pszichoter\u00e1pi\u00e1s Klinika, Budapest, R\u00e1th Gy\u00f6rgy u. 4\/3\/5., 1123"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anik\u00f3","family":"Papp","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Klinikai Idegtudom\u00e1nyi Int\u00e9zet, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Kamondi","sequence":"additional","affiliation":[{"name":"Orsz\u00e1gos Klinikai Idegtudom\u00e1nyi Int\u00e9zet, Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy Tibor","family":"Szekeres","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Pszichi\u00e1triai \u00e9s Pszichoter\u00e1pi\u00e1s Klinika, Budapest, R\u00e1th Gy\u00f6rgy u. 4\/3\/5., 1123"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","first-page":"261","DOI":"10.4103\/jnrp.jnrp_440_16","article-title":"Psychiatric presentations heralding Hashimoto's encephalopathy: a systematic review and analysis of cases reported in literature","volume":"8","author":"1 Menon","year":"2017","unstructured":"1 Menon V, Subramanian K, Thamizh JS, et al. 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Leptomeningeal carcinomatosis secondary to adenocarcinoma of the breast: a cadaveric case report. Cureus 2021; 13: e12693.","DOI":"10.7759\/cureus.12693"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"3540","DOI":"10.1200\/JCO.2014.56.0086","article-title":"Four-week prevalence of mental disorders in patients with cancer across major tumor entities","volume":"32","author":"4 Mehnert","year":"2014","unstructured":"4 Mehnert A, Br\u00e4hler E, Faller H, et al. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014; 32: 3540-3546.","journal-title":"J Clin Oncol"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/162\/43\/article-p1744.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/162\/43\/article-p1744.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/162\/43\/article-p1744.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T13:09:56Z","timestamp":1698412196000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/162\/43\/article-p1744.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,24]]},"references-count":4,"journal-issue":{"issue":"43"},"URL":"https:\/\/doi.org\/10.1556\/650.2021.32175","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,24]]}}}