Jesus Ramirez-Bermudez
@JRBneuropsiq · Ciudad de México · joined 22 Oct 2016
MD PhD ⚬ Clinical Narratives & Scientific Research ⚬ Neuropsychiatry ⚬ National Institute of Neurology and Neurosurgery / SNI3 ⚬ English & Spanish Tweets
32 290Followers
11 832Following
64 455Posts total
285.4KViews on collected posts
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Muchas gracias a la Asociación Psiquiátrica Mexicana! El XXX Congreso Nacional dio cabida a diversas actividades en el campo de la #Neuropsiquiatría, en conjunto con la International Neuropsychiatric Association, incluyendo las conferencias de los doctores Anthony David y https:/
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@JRBneuropsiq Isn't a smile a threat display for macaques?
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@OACerebro ??
Y la tesis?? https://t.co/xebx5O5qlS
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A great read for those who are interested in the discussion on representations in cognitive science and #neuroscience. The focus is not on symbolic, language like representations, but rather in cognitive maps related to goal directed, situated and embodied behavior
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Allocentric Navigation is Turing Complete, and Why It Matters
1/
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This one is about patients who had suicidal thoughts and behaviors during the acute state of anti-NMDA receptor encephalitis, within the context of psychotic depression
https://t.co/vCEHJOKQGN
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This one is an analysis of the adverse reaction to antipsychotics that has been described in autoinmune encephalitis :
https://t.co/JQpZwECTCp
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This one was about a patient suffering from the Cotard delusion, and more generally about neuropsychiatric systemic lupus erythematosus
https://t.co/fIxMEe0XEy
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Let me share with you some of our previous reports related to #Neuropsychiatry and Autoimmune Pathology.
This is a previous research paper which focused on the neuropsychiatric phenotypes
https://t.co/MxGOFwUqy5
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I'm also very grateful with the Editors & the Journal, Schizophrenia Research (my first paper was published in this same journal 😉). They provided this Share Link which leads to a free PDF copy of the article before June 18, 2025
https://t.co/egWw4ne4vf
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12/ had a significant improvement after immunotherapy in psychosis, cognition & functionality. I'm really grateful with all the authors -some are here in twitter, @tompollak, @MiguelR17645049, @fm2c, @OACerebro, @CascanteLissy, @ArmentaJaz, @Poetasaurio, @josefloresunc, THANKS!!
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11/ cognitive dysfunction. Our cases had significant abnormalities in EEG, CSF analysis, MRI & FDG-PET studies, & most had neurological signs (seizures & dyskinesia), but predominantly psychiatric presentations were common, leading to misdiagnosis before referral. These patients
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10/ CASPR2-Ig4, MOG-IgG1, AMPAR-IgG1, GAD65-IgG1, GABABR-IgG1, DPPX-IgG1, IgG4, mGluR- IgG1, mGluR5-IgG1, D2R-IgG & AK5-Ig. To conclude, our study supports previous observations about the pleomorphic psychopathological picture of autoimmune psychosis, including catatonia & severe
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9/ Regarding the limitations of the study, this was an observational study, & thus we cannot strongly infer a causal link between the therapeutic intervention and the outcome. Due to financial limitations, we could not systematically other neuronal antibodies, such as LGI1-IgG4,
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8/ After immunotherapy, a significant change was observed in the modified Rankin scale, Also, the cognitive performance improved significantly after immunotherapy, although a significant percentage persisted with significant cognitive dysfunction. https://t.co/SszJ8rbWQA
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7/ negative symptoms, impaired cognition, depression & mania) The change in psychotic symptoms before & after therapy was significant in patients with NMDAR encephalitis & in patients with autoimmune disease albeit with a negative determination of NMDAR antibodies in the CSF
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6/ A significant improvement was observed in the psychosis scale after immunotherapy (p <0.001) with an effect size of dRMpool =1.72 (CI 95 % 1.39–2.04) which is large. Each item improved significantly (hallucinations, delusions, disorganized speech, abnormal psychomotor behavior
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5/ Immunotherapy was established in 164 cases. A misdiagnosis of a primary psychiatric disorder was made before referral in 39% of them. These patients had predominant psychopathological presentations but were correctly identified using Pollak’s autoimmune psychosis criteria http
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4/ Graus criteria). In the autoimmune psychosis group, hallucinations were present in 83%, delusions in 77%, disorganized speech in 64%, severe cognitive dysfunction in 75%, catatonia in 64%. Seizures (63%), dyskinesia & autonomic abnormalities were frequent neurological features
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2
*1406 patients with a syndromic diagnosis of psychosis were hospitalized at the National Institute of Neurology & Neurosurgery of Mexico (2016-2024). An autoimmune origin was suspected in 195 patients (13%) After diagnostic workup, 164/195 cases were diagnosed by the neurology
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3/ & neuroimmunology departments as having an autoimmune disease & treated with immunotherapy. 118/164 were cases of definite anti-NMDAR encephalitis. Other cases were due to systemic lupus erythematosus & LGI anti-LGI1 encephalitis & autoimmune limbic encephalitis (according to
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#Psychosis of autoimmune origin? What are the features? Is there a therapeutic response to immunotherapy?
Welcome to our new paper!
🧠💭🧵
1/We studied the psychopathological patterns & outcomes following immunotherapy in 164 cases of autoimmune psychosis
https://t.co/3iruKRY6SL ht
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New paper by our #Neuropsychiatry group, published in Cognitive & Behavioral Neurology! 🧠
It's about a person who suffers from the Cotard Delusion in the context of Neuropsychiatric Systemic Lupus Erythematosus. How can we explain & treat this problem?
https://t.co/mEdi5dndOT h
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A new paper by our #neuropsychiatry group!
Examining the Features of Neuroleptic Malignant Syndrome in Anti-NMDA Receptor Encephalitis: A Case-Control Study🧐
1/9 🧵🧠
Over the years, we've seen patients with acute #psychosis who recieve antipsychotics &/
https://t.co/Fpix8OlHBb
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A new paper by our #neuropsychiatry group🧠💭🫡
1/7 We identified a group of persons with anti-NMDAR encephalitis who experience suicidal thoughts & behaviors within states of psychotic depression. Fortunately, there is a good response to immunotherapy!
https://t.co/5ehIiT0ZuL
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A new research paper from our #neuropsychiatry group! 🧠🧵
We made a systematic study of 100 patients with definite anti-NMDAR #encephalitis to clarify the
NEUROPSYCHIATRIC PHENOTYPES OF ANTI-NMDAR ENCEPHALTIS: A PROSPECTIVE STUDY https://t.co/4KODPdyHvR
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Dibandingkan akun berukuran sama
7 postingan dari 90 hari terakhir, dibandingkan dengan rentang 10K–100K pengikut. jangkauan biasa untuk ukurannya, reaksi lebih lemah dari kebanyakan.
Median tayangan831akun ini935median untuk 10K–100K
Jangkauan, %2.57%akun ini3.43%median untuk 10K–100K
Interaksi, %0.96%akun ini1.55%median untuk 10K–100K
| Metrik | Akun ini | Median untuk 10K–100K | Rasio |
|---|---|---|---|
| Median tayangan per postingan | 831 | 935 | 0.89× |
| Jangkauan (tayangan ÷ pengikut) | 2.57% | 3.43% | 0.75× |
| Tingkat interaksi | 0.96% | 1.55% | 0.62× |
Akun lain pada rentang ini → Bandingkan dengan akun lain → Bagaimana tolok ukur ini disusun →
Growth & engagement
How the posts we collected actually performed: views and reaction rate post by post, what the audience did with them, and where the follower count goes.
Views per post
2.2K29 Apr
1.8K
561
1.3K30 Apr
1.4K
9433 May
757
3.6K16 Sep
10.2K
1.8K
831
2617 Sep
23
274
Last 14 collected posts, oldest on the left. The scale is logarithmic: one post can outrun the rest a hundred times over.
Engagement rate per post
1.78%29 Apr
2.73%
1.43%
1.21%30 Apr
1.00%
0.53%3 May
0.53%
0.64%16 Sep
0.94%
2.01%
0.96%
3.85%17 Sep
0.00%
4.74%
Reactions — likes, reposts, replies and quotes — divided by views. Median for 10K–100K accounts is 1.55%.
What the audience does
Likes61.3%1 917 in total
Reposts13.1%411 in total
Replies2.6%82 in total
Quotes1.7%53 in total
Bookmarks21.2%663 in total
Share of every reaction we collected for this account. Replies mean argument, reposts mean endorsement, bookmarks mean the post was worth keeping.
The follower curve appears once this account has two daily snapshots — we take one a day, and this one is on its first.
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