Mehmet Kemal Arıkan, Reyhan İlhan, Mahmut Taha Ozulucan, Murat Aşık
{"title":"qEEG in the Diagnosis and Prognosis of a Case with Delusional Infestation.","authors":"Mehmet Kemal Arıkan, Reyhan İlhan, Mahmut Taha Ozulucan, Murat Aşık","doi":"10.1177/15500594231163383","DOIUrl":null,"url":null,"abstract":"<p><p>Stroke can have neuropsychological consequences, such as poststroke psychosis. One aspect of poststroke psychosis is delusional infestation (DI), also known as delusional parasitosis. Patients with DI have fixed sensations that they get infested by lice. Some explanations of DI indicate that striatal and fronto-cortical structural and functional abnormalities are related to DI symptomatology. In this case report, we present a patient with DI due to right intracarotid artery occlusion, which is detected radiologically. Before treatment with escitalopram and risperidone, the case had a frontal slowing in quantitative electroencephalography activity, which was normalized after 2 weeks of treatment. At the end of treatment, psychotic symptoms and OCD symptoms evaluated by the Yale-Brown Obsessive Compulsive Scale, the Scale for the Assessment of Positive Symptoms, were remarkably reduced. These results revealed the role of brain imaging studies in the diagnosis and prognosis of DI.</p>","PeriodicalId":10682,"journal":{"name":"Clinical EEG and Neuroscience","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical EEG and Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15500594231163383","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/3/21 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Stroke can have neuropsychological consequences, such as poststroke psychosis. One aspect of poststroke psychosis is delusional infestation (DI), also known as delusional parasitosis. Patients with DI have fixed sensations that they get infested by lice. Some explanations of DI indicate that striatal and fronto-cortical structural and functional abnormalities are related to DI symptomatology. In this case report, we present a patient with DI due to right intracarotid artery occlusion, which is detected radiologically. Before treatment with escitalopram and risperidone, the case had a frontal slowing in quantitative electroencephalography activity, which was normalized after 2 weeks of treatment. At the end of treatment, psychotic symptoms and OCD symptoms evaluated by the Yale-Brown Obsessive Compulsive Scale, the Scale for the Assessment of Positive Symptoms, were remarkably reduced. These results revealed the role of brain imaging studies in the diagnosis and prognosis of DI.
脑卒中会造成神经心理后果，如脑卒中后精神病。卒中后精神病的一个方面是妄想侵扰（DI），也称为妄想寄生虫病。患有妄想寄生虫病的患者有一种被虱子寄生的固定感觉。关于妄想出没症的一些解释指出，纹状体和前皮质的结构和功能异常与妄想出没症的症状有关。在本病例报告中，我们介绍了一名因右侧颈内动脉闭塞而导致的 DI 患者。在接受艾司西酞普兰和利培酮治疗前，该病例的额叶定量脑电图活动减慢，治疗两周后恢复正常。治疗结束后，患者的精神症状和由耶鲁-布朗强迫症量表（Yale-Brown Obsessive Compulsive Scale）和阳性症状评估量表（Scale for the Assessment of Positive Symptoms）评估的强迫症症状明显减轻。这些结果揭示了脑成像研究在诊断和预后 DI 中的作用。
期刊介绍：
Clinical EEG and Neuroscience conveys clinically relevant research and development in electroencephalography and neuroscience. Original articles on any aspect of clinical neurophysiology or related work in allied fields are invited for publication.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
