Title
The differential diagnosis of childhood- and young adult-onset disorders that include psychosis
UMMS Affiliation
Department of Psychiatry
Date
2-7-2009
Document Type
Article
Medical Subject Headings
Adolescent; Age of Onset; Child; Diagnosis, Differential; Humans; Mental Disorders; Mental Retardation; Psychotic Disorders; Young Adult
Disciplines
Psychiatry
Abstract
The evaluation of psychotic individuals for inherited or congenital etiologies is fraught with complexity. The authors reviewed the published literature and found 62 congenital disorders that include psychosis. Their prevalence, workup, genetics, and associated neuropsychiatric features are described. Eighteen disorders (29%) have distinct phenotypes ("doorway diagnoses"); 17 disorders (27%) are associated with mental retardation; and 45 disorders (73%) have prominent neurological signs. Thirty-four disorders (55%) can present without such distinct characteristics, and are thus more readily overlooked. We recommend a systematic and cost-effective differential diagnostic approach based on estimated prevalence and most prominent associated signs.
Rights and Permissions
Citation: J Neuropsychiatry Clin Neurosci. 2008 Fall;20(4):409-18. Link to article on publisher's site
