The poor insane Ophelia: reconsidering Ophelia syndrome

ABSTRACT The association between memory loss and Hodgkin's lymphoma has been given the eponym of Ophelia syndrome, in memory of Shakespeare's character in The Tragedy of Hamlet, Prince of Denmark. Nevertheless, there are differences between the disease and the character. Objective: To rev...

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Main Authors: Carlos A. Soto-Rincón, Sergio A. Castillo-Torres, Diego A. Cantú-García, Ingrid Estrada-Bellmann, Beatriz Chávez-Luévanos, Alejandro Marfil
Format: Article
Language:English
Published: Thieme Revinter Publicações 2019-12-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019001100828&tlng=en
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author Carlos A. Soto-Rincón
Sergio A. Castillo-Torres
Diego A. Cantú-García
Ingrid Estrada-Bellmann
Beatriz Chávez-Luévanos
Alejandro Marfil
author_facet Carlos A. Soto-Rincón
Sergio A. Castillo-Torres
Diego A. Cantú-García
Ingrid Estrada-Bellmann
Beatriz Chávez-Luévanos
Alejandro Marfil
author_sort Carlos A. Soto-Rincón
collection DOAJ
description ABSTRACT The association between memory loss and Hodgkin's lymphoma has been given the eponym of Ophelia syndrome, in memory of Shakespeare's character in The Tragedy of Hamlet, Prince of Denmark. Nevertheless, there are differences between the disease and the character. Objective: To review the origins and uses of the eponym through an original article by pathologist Ian Carr, its relation to the character Ophelia, and the related autoantibodies. Methods: Historical narrative review. Results: Besides an eloquent description in the original article, Carr presaged the presence of autoantibodies, before they had been thoroughly researched. Since then, five different autoantibodies (mGluR5, Hu, NMDAR, SOX, PCA2) have been associated with Hodgkin's disease. It is interesting to note the divergent outcomes of Shakespeare's character and the patient in the original description by Carr, the latter recovering to lead a normal life, and the former deceased. Conclusions: Although there is little relationship between the fictional character and the syndrome, both imply the unintentional trigger of self-harm (suicide in one case, autoimmunity in the other), thus remaining associated.
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spelling doaj-art-450624f67b0f46c395dcdffae7f53a1b2025-08-20T02:37:47ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272019-12-01771182883110.1590/0004-282x20190105The poor insane Ophelia: reconsidering Ophelia syndromeCarlos A. Soto-Rincónhttps://orcid.org/0000-0001-9355-9716Sergio A. Castillo-Torreshttps://orcid.org/0000-0002-4727-2535Diego A. Cantú-GarcíaIngrid Estrada-BellmannBeatriz Chávez-LuévanosAlejandro MarfilABSTRACT The association between memory loss and Hodgkin's lymphoma has been given the eponym of Ophelia syndrome, in memory of Shakespeare's character in The Tragedy of Hamlet, Prince of Denmark. Nevertheless, there are differences between the disease and the character. Objective: To review the origins and uses of the eponym through an original article by pathologist Ian Carr, its relation to the character Ophelia, and the related autoantibodies. Methods: Historical narrative review. Results: Besides an eloquent description in the original article, Carr presaged the presence of autoantibodies, before they had been thoroughly researched. Since then, five different autoantibodies (mGluR5, Hu, NMDAR, SOX, PCA2) have been associated with Hodgkin's disease. It is interesting to note the divergent outcomes of Shakespeare's character and the patient in the original description by Carr, the latter recovering to lead a normal life, and the former deceased. Conclusions: Although there is little relationship between the fictional character and the syndrome, both imply the unintentional trigger of self-harm (suicide in one case, autoimmunity in the other), thus remaining associated.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019001100828&tlng=enLimbic encephalitisHodgkin disease
spellingShingle Carlos A. Soto-Rincón
Sergio A. Castillo-Torres
Diego A. Cantú-García
Ingrid Estrada-Bellmann
Beatriz Chávez-Luévanos
Alejandro Marfil
The poor insane Ophelia: reconsidering Ophelia syndrome
Arquivos de Neuro-Psiquiatria
Limbic encephalitis
Hodgkin disease
title The poor insane Ophelia: reconsidering Ophelia syndrome
title_full The poor insane Ophelia: reconsidering Ophelia syndrome
title_fullStr The poor insane Ophelia: reconsidering Ophelia syndrome
title_full_unstemmed The poor insane Ophelia: reconsidering Ophelia syndrome
title_short The poor insane Ophelia: reconsidering Ophelia syndrome
title_sort poor insane ophelia reconsidering ophelia syndrome
topic Limbic encephalitis
Hodgkin disease
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019001100828&tlng=en
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