神经认知障碍是一组以认知受损为特征的障碍,其从出生或非常早期的生命就不存在,并且表示从先前达到的功能水平的下降。我们研究的案例是M.E.,一个62岁的女性,已婚,来自农村地区,当裁缝,没有精神病史.她在新冠肺炎感染和治疗期间出现精神症状,2020年11月。病人已经接受了精神病治疗,在那个时候,大约一个月,在此事件期间和之后的持续混淆状态。这些症状削弱了患者的功能水平,似乎与新冠肺炎感染或治疗有关。心理调查强调了MMSE14,注意力严重受损,短期和长期记忆。CT评估表现出正常关系,除了中度全身萎缩,根据病人的年龄。将讨论鉴别诊断。治疗已经证明了它的有效性,病人恢复了定向能力,可以做家务,注意力和短期记忆的良好改善。我们强调Covid-19感染与患者的昏迷状态和谵妄之间存在相关性,作为合并症,在许多情况下,慢性进行性神经认知障碍,尤其是老年人。
Neurocognitive disorders are a group of disorders characterized by an impaired cognition which has not been present since birth or very early life and represents a decline from a previous attained level of functioning. The case we studied is M.E., a 62 years female, married, from rural area, working as a tailor, without any psychiatric history. She develops psychiatric symptoms during Covid-19 infection and treatment, in November 2020. The patient has been admitted in psychiatric care, in that time, for about one month, for a persistent confusion state during and after this event. These symptoms diminish the patient\'s level of functioning and seemed to be related with the Covid-19 infection or treatment. Psychological investigation underlines a MMSE 14, severe impairment in attention, short-term and long-term memory. CT evaluation presents normal relation except a moderate general atrophy, according with patient\'s age. Differential diagnosis will be discussed. The treatment has proven its effectiveness, the patient regaining her ability to orientate, could do housework, good improvement in attention and short-term memory. We emphasize that there is correlation between the Covid-19 infection and confusive state and delirium in patients, as a comorbidity, followed in many cases by chronic progressive neurocognitive disorder, especially in elderly.