L D A Dorresteijn

Publications (4)38.28 Total impact

• Article: [From psychiatric symptoms to paraneoplastic syndrome].

  S T de Bot, L D A Dorresteijn, C A Haaxma, A C Kappelle, B P C van de Warrenburg
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  ABSTRACT: Two patients, a 38-year-old man and a 32-year-old woman, were admitted to a psychiatric ward. The first patient suffered from a mood disorder, personality changes and complained of several, hitherto unexplained physical symptoms. Finally the patient was diagnosed with paraneoplastic cerebellar degeneration associated with Hodgkin's disease. The second patient presented with psychosis and panic disorders, but the condition was later found to be caused by paraneoplastic limbic encephalitis due to ovarian teratomas. These cases illustrate that patients with paraneoplastic neurological syndromes may present with psychiatric symptoms which can hamper an early diagnosis.
  Tijdschrift voor psychiatrie 02/2008; 50(9):603-9.
• Article: [A patient with feigned mental incompetence requiring medical treatment].

  S T de Bot, D Nanda, L D A Dorresteijn
  Nederlands tijdschrift voor geneeskunde 02/2008; 152(3):173; author reply 173-4.
• Article: [Radiotherapy of the neck as a risk factor for stroke].

  L D A Dorresteijn, H A M Marres, H Bartelink, L J Kappelle, W Boogerd, A C Kappelle
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  ABSTRACT: A man (78 years) and a woman (55 years) experienced one-sided weakness and a woman (61 years) had language-expression problems between 4 and 37 years after having received radiotherapy for carcinoma of the larynx. All three patients had a significant degree of stenosis of the carotid artery. In two patients angioplasty and stenting was carried out. It was decided not to operate or stent the younger woman as her right internal carotid artery was occluded. No new symptoms developed in any of the patients. Radiation-induced stroke is not an uncommon disorder after radiotherapy for a laryngeal carcinoma in the past. The interval between radiation treatment and occurrence of stroke varies, but after a follow-up period of more than 5 years the risk of stroke is significantly increased. In the first instance the work-up should be similar to that in stroke patients with classical age-related atherosclerosis. However treatment of symptomatic radiation-induced carotid stenosis is often a challenge due to fibrotic changes and alterations of the anatomical layers within the radiation field. Screening and modification of additional cerebrovascular risk factors is recommended before radiation treatment is started, in order to prevent worsening of atherosclerotic changes.
  Nederlands tijdschrift voor geneeskunde 07/2005; 149(23):1249-53.
• Article: A gait disorder with an unexpected twist.

  L D A Dorresteijn, P Portegies, M van Kasteren, B R Bloem
  The Lancet 11/2003; 362(9390):1120. · 38.28 Impact Factor