ArticleBMJ case reports2015
Psychosis post corona radiata and lentiform nucleus infarction.
Article in BMJ case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 12 citations in OpenAlex.
- Carotid endarterectomy for symptomatic carotid artery stenosis in a patient who presented with psychosis.BMJ case reports · 2022Article
- Brain Imaging in New Onset Psychiatric Presentations.Innovations in clinical neuroscience · 2019Article
- Organic psychosis: The pathobiology and treatment of delusions.CNS neuroscience & therapeutics · 2018Review
- Post Stroke Psychosis Following Lesions in Basal Ganglion.Journal of clinical and diagnostic research : JCDR · 2017Article
- Parallel changes in serum proteins and diffusion tensor imaging in methamphetamine-associated psychosis.Scientific reports · 2017Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
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Abstract
Complications of stroke can include neuropsychiatric symptoms. However, post-stroke psychosis is rare. We report a case where an acute presentation of psychosis, depression and fluctuating cognitive impairment in a middle-aged man turned out to be related to a silent brain infarction. The patient had a background of poorly controlled type 2 diabetes mellitus with glycated haemoglobin level of 9.0-11.0%, hypertension and ischaemic heart disease. His CT brain results showed multifocal infarct with hypodensities at bilateral lentiform nucleus and bilateral corona radiata. His strong genetic predisposition of psychosis and a history of brief psychotic disorder with complete remission 3 years prior to the current presentation might possibly contribute to his post-stroke atypical neuropsychiatric presentation, and posed diagnostic challenges. He showed marked improvement with risperidone 6 mg nocte, chlorpromazine 50 mg nocte and fluvoxamine of 200 mg nocte. The need of comprehensive treatments to modify his stroke risk factors was addressed.
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