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Case Reports in Psychiatry

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https://www.readbyqxmd.com/read/30013806/management-of-psychosis-in-a-patient-with-probable-dopa-responsive-dystonia
#1
Maggie Wang, Joseph I Sison
Dopa-responsive dystonia is a rare childhood neurological disorder characterized by asymmetric dystonia, predominantly of the lower limb, that responds excellently to levodopa replacement therapy. Although it is known that behavioral changes, such as depression, anxiety disorders, and sleep disturbances, typically follow onset of motor symptoms, there is limited literature on the psychiatric symptoms of this disorder. This report describes a novel case of a 20-year-old male with a history of dopa-responsive dystonia and schizoaffective disorder who presented with both dystonia and psychosis after a period of medication noncompliance...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/30002940/low-dose-fluoxetine-in-four-children-with-autistic-spectrum-disorder-improves-self-injurious-behavior-adhd-like-symptoms-and-irritability
#2
Juan Pablo Lucchelli, Gilles Bertschy
Autism Spectrum Disorder (ASD) is defined by the copresence of two core symptoms: alteration in social communication and repetitive behaviors and/or restricted interests. In ASD children and adults, irritability, self-injurious behavior (SIB), and Attention Deficit and Hyperactivity Disorders- (ADHD-) like symptoms are regularly observed. In these situations, pharmacological treatments are sometimes used. Selective Serotonin Reuptake Inhibitors- (SSRI-) based treatments have been the subject of several publications: case reports and controlled studies, both of which demonstrate efficacy on the symptoms mentioned above, even if no consensus has been reached concerning their usage...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29992074/diagnostic-treatment-and-system-challenges-in-the-management-of-recurrent-neuroleptic-malignant-syndrome-on-a-general-medical-service
#3
Karan Verma, Vivek Jayadeva, Raymond Serrano, Karthik Sivashanker
Neuroleptic malignant syndrome (NMS), an iatrogenic form of malignant catatonia, carries high morbidity and mortality rates especially in the context of delayed recognition and standard intervention protocol of lorazepam trial. However, there is limited guidance available through literature for further management if benzodiazepine treatment is ineffective and electroconvulsive therapy (ECT) is not readily accessible. This case report describes a multimodal approach to address the diagnostic, treatment, and logistical system challenges in an acute medical hospital through the case of a 69-year-old man with schizophrenia who represented from a psychiatric ward with neuroleptic malignant syndrome...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29984030/pervasive-refusal-syndrome-in-autistic-spectrum-disorder
#4
Emily Claire Bond, Rosalind Yvonne Kirton Oliphant
Pervasive Refusal Syndrome (PRS) is a rare child psychiatric condition. We describe a case of PRS in a 9-year-old boy with a diagnosis of Autism Spectrum Disorder (ASD) presenting with severe weight loss due to extreme restriction of food and fluids. Other prominent symptoms included total mutism, school refusal, and self-neglect. He was admitted to a specialist Child and Adolescent Mental Health Unit. We discuss the symptoms present in this case and the differential diagnosis of ASD in PRS. Although this differential has briefly been considered one in previous case, there have been no reported cases of PRS with a prior diagnosis of ASD...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29984029/misinterpretation-of-psychiatric-illness-in-deaf-patients-two-case-reports
#5
Ethan Anglemyer, Craig Crespi
The Deaf/hard of hearing population is growing rapidly and the medical community is facing a higher demand for this special needs group. The Deaf culture is unique in that spoken word is via sign language. What one person may see as mania or psychosis is actually a norm with Deaf individuals. The fear of the unknown language often creates immediate conclusions that are false. As such, being culturally sensitive becomes a large component of properly assessing a Deaf patient in any psychiatric situation. In the first case, the patient is a 26-year-old prelingually Deaf male, who was placed under an involuntary hold by the emergency room physician for acting erratic and appearing to respond to internal stimuli...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29971176/camptocormia-in-an-adolescent-a-case-report-and-review-of-the-literature
#6
Laura Kaplan, Erik Aurigemma, Timothy Sullivan, Richard Sidlow
Camptocormia, or bent-spine syndrome, is an entity with a long history and many etiologies. We discuss below both the history of this diagnosis in light of a rare case of psychogenic camptocormia and the recent changes in nosology regarding this disorder.
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29888020/delayed-onset-seizure-in-a-mild-quetiapine-overdose-report-of-a-case-and-review-of-the-literature
#7
Jason A Chen, Katherine M Unverferth, Erick H Cheung
Among atypical antipsychotics, quetiapine is commonly prescribed and considered to have a favorable side effect and safety profile. Here, we report the case of a patient who developed a generalized tonic-clonic seizure 28 hours following ingestion of 1,400 mg of quetiapine. Review of the literature identifies delayed-onset seizure as a potential complication of quetiapine overdose. Unique to this case, delayed-onset seizures occurred in a patient with a relatively low dose of quetiapine and no obvious toxidrome, suggesting that this reaction may be an important consideration in the management of quetiapine overdose...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29862108/salivary-alpha-amylase-activity-levels-in-catatonic-schizophrenia-decrease-after-electroconvulsive-therapy
#8
Misako Kanayama, Tsuyoshi Miyaoka, Tomoko Araki, Maiko Hayashida, Sadayuki Hashioka, Jun Horiguchi
Background: Dysfunction of the autonomic nervous system (ANS) in schizophrenia has been detected by electrophysiological methods, but the underlying mechanisms remain unknown. Several studies have suggested that measuring salivary alpha-amylase activity levels is useful for evaluating the ANS activity and that sAA levels increase in schizophrenia and correlate with Brief Psychiatric Rating Scale (BPRS) scores. However, no study has examined the relationship between sAA activity levels and symptoms of schizophrenia with catatonic state...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29854531/phenibut-%C3%AE-phenyl-%C3%AE-aminobutyric-acid-dependence-and-management-of-withdrawal-emerging-nootropics-of-abuse
#9
Tania Ahuja, Ofole Mgbako, Caroline Katzman, Allison Grossman
This case report describes the development of withdrawal from phenibut, a gamma-aminobutyric acid-receptor type B agonist. Although phenibut is not an FDA-approved medication, it is available through online retailers as a nootropic supplement. There are reports of dependence in patients that misuse phenibut. We report a case in which a patient experienced withdrawal symptoms from phenibut and was successfully treated with a baclofen taper. This case report highlights the development of phenibut use disorder with coingestion of alcohol and potential management for phenibut withdrawal...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29850350/olfactory-reference-syndrome-with-suicidal-attempt-treated-with-pimozide-and-fluvoxamine
#10
Oluwole Jegede, Inderpreet Virk, Karthik Cherukupally, Wil Germain, Patricia Fouron, Tolu Olupona, Ayodeji Jolayemi
The core symptomatology of the Olfactory Reference Syndrome (ORS) is characterized by a preoccupation with the belief that one emits an offensive odor, albeit not perceived by others. The present case is that of a 75-year-old African American woman, with an unclear past psychiatric history, who was brought into our Emergency Room after a suicide attempt. The patient reported a three-year history of a "rotten" smell from her vagina. She adamantly believes that she smells despite being told otherwise by people...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29850349/treatment-emergent-mania-in-a-prepubertal-boy
#11
Dulangi Maneksha Amerasinghe Dahanayake, Gampolage Swarna Wijetunge
Bipolar disorder among children has gained acceptance as a diagnostic entity but continues to pose diagnostic and management challenges due to the developmental differences in children and inadequate evidence for pharmacological management. We present the case of a prepubertal child presenting with an apparent depressive episode who developed treatment-emergent mania when commenced on sertraline. This case highlights the need for further research into the presentations and pharmacological management of prepubertal children with bipolar affective disorder...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29707400/-capgras-delusions-involving-belongings-not-people-and-evolving-visual-hallucinations-associated-with-occipital-lobe-seizures
#12
Brandon Lilly, Erika Maynard, Kelly Melvin, Suzanne Holroyd
Capgras syndrome is characterized by the delusional belief that a familiar person has been replaced by a visually similar imposter or replica. Rarely, the delusional focus may be objects rather than people. Numerous etiologies have been described for Capgras to include seizures. Similarly, visual hallucinations, both simple and complex, can occur secondary to seizure activity. We present, to our knowledge, the first reported case of visual hallucinations and Capgras delusions for objects that developed secondary to new onset occipital lobe epilepsy...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29682384/corrigendum-to-a-case-of-sporadic-creutzfeldt-jakob-disease-presenting-as-conversion-disorder
#13
Nikhil Yegya-Raman, Rehan Aziz, Daniel Schneider, Anthony Tobia, Megan Leitch, Onyi Nwobi
[This corrects the article DOI: 10.1155/2017/2735329.].
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29682383/polysubstance-and-behavioral-addictions-in-a-patient-with-bipolar-disorder-role-of-lifetime-subthreshold-autism-spectrum
#14
Liliana Dell'Osso, Ciro Conversano, Martina Corsi, Carlo A Bertelloni, Ivan M Cremone, Barbara Carpita, Manuel G Carbone, Camilla Gesi, Claudia Carmassi
This case report draws attention to the potential relevance of undetected autism spectrum symptoms in a bipolar patient with high work functioning showing a peculiar addictive profile with impulsive and antisocial behaviors. A 23-year-old man with a diagnosis of Bipolar Disorder (BD) and Substance Use Disorder (SUD) was hospitalized at the Psychiatric Clinic of the University of Pisa for diuretics and β -2 adrenergic agonist abuse in a remission phase of benzodiazepines and substance abuse. He reported a history of behavioral addictions in the framework of a global high work functioning with particular skills in computer science...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29675280/what-can-happen-when-postpartum-anxiety-progresses-to-psychosis-a-case-study
#15
Vesna Pirec
This case report describes a primipara without documented psychiatric history prior to complicated delivery. Onset of severe insomnia and anxiety was right after childbirth but not treated. Obsessive thinking pattern became more prominent. The patient became depressed and sought psychiatric help four months after delivery. Insomnia was then treated pharmacologically. Anxiety and depression persisted, suicidal ideation emerged, and the patient became confused, indecisive, overwhelmed, and delusional regarding her child's health...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29670796/huntington-s-disease-in-a-patient-misdiagnosed-as-conversion-disorder
#16
João Machado Nogueira, Ana Margarida Franco, Susana Mendes, Anabela Valadas, Cristina Semedo, Gustavo Jesus
Huntington's disease (HD) is an inherited, progressive, and neurodegenerative neuropsychiatric disorder caused by the expansion of cytosine-adenine-guanine (CAG) trinucleotide in Interested Transcript (IT) 15 gene on chromosome 4. This pathology typically presents in individuals aged between 30 and 50 years and the age of onset is inversely correlated with the length of the CAG repeat expansion. It is characterized by chorea, cognitive deficits, and psychiatric symptoms. Usually the psychiatric disorders precede motor and cognitive impairment, Major Depressive Disorder and anxiety disorders being the most common presentations...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29666740/treatment-of-acute-psychosis-with-second-generation-antipsychotics-in-a-patient-with-left-temporal-lobe-lesion
#17
Richard Shehane, Steve Miller, Luke Suber, Miranda Chakos
We present a case of rapid onset severe psychosis followed by suicide attempt in a United States Navy sailor. Investigation revealed a left temporal lobe brain mass suspicious for low-grade glioma. After hospitalization and medical management with olanzapine and lurasidone the patient's psychosis improved. The purpose of this paper is to add to the existing case reports that suggest a relationship between temporal lobe lesions and psychiatric illness, specifically psychosis. In addition, this case adds insight into the effectiveness of medical therapy for brain tumor patients that are not immediate candidates for neurosurgical intervention...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29666739/prosopagnosia-as-a-type-of-conversion-disorder
#18
Clodagh Power, Oisin Hannigan, Robert Coen, Irene Bruce, Matthew Gibb, Marie McCarthy, David Robinson, Brian A Lawlor
Background: Conversion disorder is a common and debilitating condition that remains poorly understood. We present a previously undescribed form of conversion disorder to highlight the complexity of the condition and consider the interplay of factors that produce conversion symptoms. Case: A 50-year-old male presented with acquired prosopagnosia and language impairment. Neuropsychological testing indicated right temporal lobe dysfunction. Extensive work-up outruled an organic aetiology...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29623228/response-after-infection-associated-rise-in-clozapine-levels-in-treatment-resistant-schizoaffective-disorder
#19
Nina H Grootendorst-van Mil, Anna R M Huiskens, Sieds Dieleman, Tom K Birkenhäger
The clinical management of patients with treatment-resistant psychotic disorders is still challenging despite years of extensive research. If first-line antipsychotic treatment proves ineffective, clozapine is considered golden standard. Herein, we report on a patient with schizoaffective disorder that initially showed no response to treatment with clozapine and ECT and therefore reached a therapeutic dead end. After an unintentional exposure to supratherapeutic clozapine levels, related to a pneumonia, a significant and persistent reduction of psychotic symptoms occurred...
2018: Case Reports in Psychiatry
https://www.readbyqxmd.com/read/29535881/reversible-thrombocytopenia-after-gabapentin-in-an-hiv-positive-patient
#20
Mohammed Basith, Andrew Francis, Alfredo Bellon
Gabapentin has become increasingly used in psychiatric practice specifically for anxiety disorders. Even though gabapentin is not approved by the US Food and Drug Administration to treat anxiety, physicians sometimes use it as an alternative to benzodiazepines in patients with a history of substance abuse. Gabapentin is also prescribed when individuals are at risk of thrombocytopenia which is not considered a side effect. Among patients at risk of thrombocytopenia are those positive for human immunodeficiency virus (HIV)...
2018: Case Reports in Psychiatry
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