Case Reports in Psychiatry最新文献_第5页

Thiamine Deficiency Neuropathy in a Patient with Malnutrition due to Melancholic Depression. 一名因忧郁抑郁症而营养不良的患者的硫胺素缺乏性神经病。

Case Reports in Psychiatry Pub Date : 2024-03-08 eCollection Date: 2024-01-01 DOI: 10.1155/2024/1797983

Rihene Melki, Rim Ben Soussia, Houcem Elomma Mrabet, Walid Bouali, Lazhar Zarrouk

{"title":"Thiamine Deficiency Neuropathy in a Patient with Malnutrition due to Melancholic Depression.","authors":"Rihene Melki, Rim Ben Soussia, Houcem Elomma Mrabet, Walid Bouali, Lazhar Zarrouk","doi":"10.1155/2024/1797983","DOIUrl":"10.1155/2024/1797983","url":null,"abstract":"Introduction: Melancholic depression is a daily clinical reality in psychiatry. It is a therapeutic emergency that can jeopardize life if not promptly and adequately treated. Apart from its high suicidal risk, complications related to the under-nourishment state are to be feared. Case Presentation. A 36-year-old woman was admitted with depressive symptoms, significant weight loss, and total functional impotence. Laboratory investigations revealed severe thiamine (vitamin B1) deficiency. An electromyography confirmed a sensory axonal neuropathy involving all four extremities suggesting a deficiency origin. Discussion. Vitamin and mineral deficiencies have been described in patients with malnutrition resulting from psychiatric illness (anorexia nervosa, eating disorders, severe depression, etc.). Thiamine is an essential cofactor in several biochemical pathways. Its deficiency can lead to neuropsychiatric morbidity.Conclusion: In our case, the rapid weight loss facilitated a cascade of complications related to nutritional deficiencies. Based on our clinical observations and the literature, thiamine deficiency should be considered in the presence of malnutrition and vulnerability, both on an organic and psychiatric level.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"1797983"},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10942818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140142826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Catatonia as a Result of a Traumatic Brain Injury. 创伤性脑损伤导致的紧张症。

Case Reports in Psychiatry Pub Date : 2024-03-06 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5184741

Jessica Berthelot, Jacob Cambre, Madeline Erwin, Jennifer Phan

{"title":"Catatonia as a Result of a Traumatic Brain Injury.","authors":"Jessica Berthelot, Jacob Cambre, Madeline Erwin, Jennifer Phan","doi":"10.1155/2024/5184741","DOIUrl":"10.1155/2024/5184741","url":null,"abstract":"Catatonia is a neuropsychiatric syndrome typically marked by disturbances in motor activity, speech, and behavior. It has historically been associated with psychiatric illness, but acute medical illness, neurocognitive disorders, and neurodevelopmental disorders can cause catatonia as well. Catatonia is likely underrecognized and underdiagnosed in the general medical hospital, despite high risks of morbidity and mortality and the availability of rapidly effective treatment. Here, we present a case of catatonia secondary to traumatic brain injury that responded to lorazepam after a delayed diagnosis. A young male patient who was incarcerated and assaulted was sent to the emergency department multiple times for unresponsive and unpredictable behavior, including not agreeing to be released home. After being admitted with the diagnosis of postconcussive syndrome, he was ultimately diagnosed with catatonia, and intravenous lorazepam resulted in a return to his baseline mental status. We discuss factors that led to the delay in diagnosis, including lack of training in recognition of catatonia, suspicion of feigned symptoms for secondary gain, and the implication of stigma in an African American young male arrested for a drug-related crime.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"5184741"},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10937075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140118915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Group Schema Therapy for Refugees with Treatment-Resistant PTSD and Personality Pathology. 为患有创伤后应激障碍和人格病理学的难民提供团体模式疗法。

Case Reports in Psychiatry Pub Date : 2024-02-22 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8552659

Linda Verhaak, Jackie June Ter Heide

{"title":"Group Schema Therapy for Refugees with Treatment-Resistant PTSD and Personality Pathology.","authors":"Linda Verhaak, Jackie June Ter Heide","doi":"10.1155/2024/8552659","DOIUrl":"10.1155/2024/8552659","url":null,"abstract":"Introduction: Patients with complex forms of posttraumatic stress disorder (PTSD) may benefit from schema therapy. While a small number of studies point to the effectiveness of individual schema therapy in refugees with PTSD, no evidence on group schema therapy (GST) in refugees exists. To illustrate and advocate for the use of GST in refugee patients with treatment-resistant PTSD and comorbid personality pathology, a case report is presented. Presentation. The case concerned the treatment of an East African female refugee who survived sexual and physical violence and loss as a child, as the hostage of a rebel army, and as a victim of human trafficking. She was diagnosed with PTSD, major depressive disorder, and borderline personality disorder. Trauma-focused therapy was hampered by insufficient treatment attendance due to current stress factors and early destructive coping strategies. One year of GST enabled the patient to overcome treatment-undermining patterns and benefit from subsequent trauma-focused therapy.Conclusion: This case suggests that GST may have the potential to improve treatment adherence and the effectiveness of trauma-focused treatment in complex refugee patients. Clinical impressions need to be confirmed in a study that examines the feasibility, acceptability, and preliminary efficacy of GST in refugees with treatment-resistant PTSD and personality pathology.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"8552659"},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10904674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case Report of a Patient with Soaring Clozapine Levels after Developing a Urinary Tract Infection. 一名患者因尿路感染导致氯氮平水平飙升的病例报告。

Case Reports in Psychiatry Pub Date : 2024-02-20 eCollection Date: 2024-01-01 DOI: 10.1155/2024/9147674

Adesh Kumar Agrawal, Soumitra Das, Lorenzo Abednego B Adre, Nakka Raghuma, Sharanya Kaushik, Adarsha Adhikari

引用次数: 0

A Case of Posterior Cortical Atrophy Presenting with Mood and Psychotic Symptoms. 一个伴有情绪和精神症状的后皮质萎缩病例。

Case Reports in Psychiatry Pub Date : 2024-02-08 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2220082

Tremearne Hotz, Manu Sharma, Bharat Narapareddy

引用次数: 0

Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events. 癫痫发作、精神病和脑血管畸形：罕见的事件链

Case Reports in Psychiatry Pub Date : 2024-01-22 eCollection Date: 2024-01-01 DOI: 10.1155/2024/8656715

Ismail Hanine, Khadija Benallel, Roukaya Benjelloun, Mohamed Kadiri

{"title":"Seizures, Psychosis, and Cerebral Vascular Malformation: A Rare Chain of Events.","authors":"Ismail Hanine, Khadija Benallel, Roukaya Benjelloun, Mohamed Kadiri","doi":"10.1155/2024/8656715","DOIUrl":"10.1155/2024/8656715","url":null,"abstract":"Background: In psychiatry, anatomical abnormalities are sometimes forgotten, and this can mislead doctors into thinking that the diagnosis is purely psychiatric. A physical examination is important whenever it is possible. Even though cerebral arteriovenous malformations (cAVMs) are rare and can go unnoticed, in some cases they can cause clinical symptoms, which is a complication. Case Presentation. In this case, we describe a patient with no prior medical or psychiatric history having a cAVM diagnosed after showing psychotic symptoms (delusion and disorganized thoughts and behavior). The deep 4 × 5 cm cAVM was discovered after admitting the patient to psychiatric ward, the neurological cause has been considered after a recorded seizure, which brings the following question: Is the clinical presentation a direct result of the cAVM or is it postictal?Conclusions: An abnormality leading to another, here is how we could describe our patient's psychopathology leading to psychotic symptoms. The two hypotheses explaining this case report have a low rate of occurring making this a rare case. Either way, neurological cause cannot be overlooked even if the clinical presentation is typical.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"8656715"},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10824577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Guanfacine Treatment in a Patient with Intravenous Buprenorphine/Naloxone Misuse. 对一名滥用静脉注射丁丙诺啡/纳洛酮的患者进行关法辛治疗。

Case Reports in Psychiatry Pub Date : 2024-01-19 eCollection Date: 2024-01-01 DOI: 10.1155/2024/6359691

Sercan Karabulut

引用次数: 0

Steroids for the Treatment of Misophonia and Misokinesia. 用类固醇治疗失音症和运动失调症。

Case Reports in Psychiatry Pub Date : 2024-01-16 eCollection Date: 2024-01-01 DOI: 10.1155/2024/3976837

Jadon Webb, Afton Williamson

{"title":"Steroids for the Treatment of Misophonia and Misokinesia.","authors":"Jadon Webb, Afton Williamson","doi":"10.1155/2024/3976837","DOIUrl":"10.1155/2024/3976837","url":null,"abstract":"Misophonia and misokinesia are disorders characterized by intensely negative physical and emotional reactions to specific auditory and visual stimuli. The availability of effective treatments, especially pharmacological ones, is limited. This report presents a case of a 35-year-old male with severe misophonia and misokinesia who experienced nearly complete resolution of symptoms while undergoing high-dose steroid therapy for an unrelated muscular injury. Two days after starting a 20 mg oral prednisone taper pack (in which the steroid dose is reduced by 4 mg daily), his Amsterdam Misophonia Scale (A-Miso-S) score drastically reduced from a baseline of 23 (i.e., extreme symptoms) to 1, with symptom relief persisting for approximately 2 weeks after completing the taper. Months later, a daily dose of prednisone (4 mg) was reintroduced. This again resulted in a marked reduction in symptoms (A-Miso-S of 6), enabling him to resume working in an office setting despite his triggers. Symptom improvement remained stable over several months. This case raises the possibility of the steroid prednisone as a novel treatment for misophonia and misokinesia. However, further investigation is needed to determine the generalizability of this observation.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2024 ","pages":"3976837"},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139544866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case Report on Care-Seeking Type Illness Anxiety Disorder after COVID-19 Infection 关于 COVID-19 感染后护理型疾病焦虑症的病例报告

Case Reports in Psychiatry Pub Date : 2023-12-21 DOI: 10.1155/2023/3003499

Lakshmi S. Kasi, B. Moorthy

引用次数: 0

No Little Feet: Managing Pseudocyesis in a Homeless, Acutely Manic Patient with Schizoaffective Disorder, Bipolar Type. 没有小脚：处理一名无家可归、患有双相情感障碍的急性躁狂症患者的假性躁狂症。

Case Reports in Psychiatry Pub Date : 2023-12-13 eCollection Date: 2023-01-01 DOI: 10.1155/2023/2504871

Talitha West, Omotola Ajibade, Anthony Fontanetta, Samreen Munir

{"title":"No Little Feet: Managing Pseudocyesis in a Homeless, Acutely Manic Patient with Schizoaffective Disorder, Bipolar Type.","authors":"Talitha West, Omotola Ajibade, Anthony Fontanetta, Samreen Munir","doi":"10.1155/2023/2504871","DOIUrl":"https://doi.org/10.1155/2023/2504871","url":null,"abstract":"Pseudocyesis is a complex psychiatric manifestation of the physical symptoms of pregnancy. Although not pregnant, the pseudocyetic patient displays signs and symptoms consistent with pregnancy, such as abdominal distention, cramping, and/or sensations of fetal movement. Pseudocyesis is more common in developing countries than in the developed world, possibly due to the importance that traditional societies attach to childbearing and the low social status that these societies assign to women who are unable to produce children. Socioeconomically disadvantaged women in developed countries may also be at increased risk. Although the etiology, pathogenesis, diagnosis, and management of pseudocyesis are poorly understood, it manifests with real symptoms, which may complicate both the patient's perspective about her condition and the medical and psychiatric teams' approach to the patient. This case report is one of only a few in the literature to present an example of pseudocyesis developing in the context of acute mania. After describing the patient's clinical course, from her initial symptoms of pseudocyesis to their eventual resolution, this report will provide recommendations for the sensitive care of patients with this rare but significant condition.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2023 ","pages":"2504871"},"PeriodicalIF":0.0,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10733053/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0