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S664

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

symptoms took place. Careful reconstruction of the clinical history

showed no stressors or drug consumption. And immediately pre-

vious 5-day phase of insomnia, hyperactivity and expenditure was

described by the patient’s wife.

Discussion

Three inpatient admissions, a careful clinical history

and a thorough review of the evidence regarding Perris criteria led

to a diagnosis of CP.

Conclusion

CP, a classical nosological approach, is helpful in a

clinical setting, as it might imply different prognosis and treatment.

Recognition of CP, not included as an entity by the major diagnostic

systems, requires a high index of suspicion.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1969

EV985

Cryptococcal meningitis in acute

onset psychosis: A case-study

P. Michielsen

1 ,

, M. Arts

2

1

Mental Health Western Northern Brabant, Halsteren, Netherlands

2

University Medical Center Groningen, Old Age Psychiatry,

Groningen, Netherlands

Corresponding author.

Introduction

Cryptococcal meningitis is a frequently observed

opportunistic infection in patients with late-stage HIV-infection,

especially among people living in South-East Asia and Central

Africa. The worldwide incidence is estimated at one million cases.

The worldwide mortality of HIV-associated cryptococcal menin-

gitis remains high (10–30%), due to the inadequacy of antifungal

treatments and complications of increased intracranial pressure.

Clinical symptoms of cryptococcal meningitis are fever, headache,

vomiting, and altered mental status. Neck stiffness, papiledema,

and focal neurological symptoms are sometimes present.

Objectives

We describe the case of a patient who first developed

a delirium, and a few months later an acute-onset psychosis, after

a past cryptococcal infection.

Aims

To report a case-study describing acute-onset psychosis as

a neuropsychiatric consequence of HIV-infection.

Methods

A case-study is presented and discussed, followed by a

literature review.

Results

A 49-year-old African-born male was admitted to hospi-

tal with an acute psychosis. He had been treated by an internist

after being found to have HIV. As a result of non-compliance over a

period of about four months, his cd4-count had dropped to 40. Six

months earlier he had developed cryptococcal meningitis, which

left him a number of neurological and psychiatric symptoms. Dur-

ing his stay in hospital, there had to be good collaboration with the

specialist in internal medicine whose dual task was to manage the

patient’s dramatically low cd4-count as well as his psychosis.

Conclusion

Cryptococcal meningitis is a risk factor for psychiatric

disorders and mortality in HIV-infected persons.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1970

EV986

“Bouffée délirante” induced by

meditation

R.A. Baena Mures

1 ,

, L. Niell Galmes

2

, Y. Lázaro Pascual

2

,

M.D. Saiz Gonzalez

2

1

Hospital Clinico San Carlos, Psychyatry, Madrid, Spain

2

Hospital Clinico San Carlos, Psychiatry, Madrid, Spain

Corresponding author.

Introduction

Meditation is frequently applied in Western as well

as non-Western countries for different purposes; we know little

about adverse events. The symptomatology of ameditation-related

psychosis appears to show similarities with that we call “bouffée

delirante”.

Methods

A female patient is described who developed an acute

and transient psychosis with polymorphic symptomatology after

meditating (Bikram-yoga). We made a literature search for psy-

chotic states related to meditation.

Results

There are some case reports of psychosis disorder

induced by meditation. Some cultural syndromes like Qi-gong

appear on DSM-IV as psychotic reaction. In this case, the syndrome

is not culture bound.

Conclusions

Meditation can act as a stressor in vulnerable

patients who may develop a transient psychosis with polymorphic

symptomatology (confusion, pananxiety, mood swings and mood

dystonic psychotic symptoms) with a short duration.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1971

EV987

Erotomania – A review of De

Clérambault’s syndrome

C. Oliveira

, S. Alves , C. Ferreira , C. Agostinho , M.J. Avelino

Centro Hospitalar Psiquiátrico de Lisboa, SETA, Lisbon, Portugal

Corresponding author.

Introduction

Erotomania (also known as De Clerambault’s syn-

drome) is usually described as a rare delusional syndrome

characteristically involving an individual who believes that another

person, typically of higher social, economic or political status, is

in love with the individual. De Clerambault’s syndrome remains a

ubiquitous nosological psychiatric entity with uncertain prognosis

that remains recognised as a subtype of delusional disorder in DSM

5.

Objectives and aims

To review the history of Erotomania as a

nosological psychiatric entity, its clinical characteristics and course.

Also to report some selected clinical cases.

Methods

The authors have conducted an online search on

PubMed with MeSH words“erotomania”, “erotomaniac delusion”

and “Clerambault” and systematically reviewed some case reports.

Results

Erotomania is a relatively uncommon andmisunderstood

disorder characterised by the presence of a persistent erotic delu-

sion. The individual (usually described as a woman) has had little or

no contact with the other personwho is perceived aswatching over,

protecting or following the individual. Despite various authors have

described and named this syndrome, it was Clérambault who first

classed the symptoms into the disorder he referred to as “psychose

Passionelli” (1942). There are numerous theories as to the aetiol-

ogy of this illness that is not uniquely associated with any specific

disorder. We reviewed some clinical cases.

Conclusions

Erotomania is a relatively uncommon psychiatric

disorder. An increased awareness and understanding of this illness

will assist in the recognition of patients affected, opening doors for

future progress on its aetiology and, therefore, the development of

new treatment options.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1972

EV988

ADHD-associated risk-taking: The role

of benefit and risk perceptions

Y. Pollak

1 ,

, H. Aloni

2

, R. Shoham

2 , 3

1

Hebrew University, School of Education, Jerusalem, Israel

2

Hebrew University, Psychology, Jerusalem, Israel

3

Talpiot College, Special Education, Holon, Israel

Corresponding author.