Chronic subdural haematoma presenting as late onset psychosis
- Author:
Thingbaijam Bihari Singh
;
Athokpam Ranita Devi
;
Senjam Gojendra Singh
;
Mhetre Bhushan Bhagwan
- Publication Type:Case Reports
- Keywords:
Late Onset Psychosis, Chronic Subdural Haematoma
- From:ASEAN Journal of Psychiatry
2013;14(2):1-4
- CountryMalaysia
- Language:English
-
Abstract:
This case report highlights a case of late onset psychosis which was an
uncommon occurrence to psychiatric services in developing countries. Medical
causes of late onset psychosis, though known, are often missed. Chronic subdural
haematoma (CSDH) is predominantly a disease of the elderly. A history of direct
trauma to the head is usually absent. Methods: A previously healthy 80-year-old
male presented with 4 months duration of late onset psychosis. Result: Neurological
examination was normal. Routine investigations were within normal limits and MRI
brain revealed a chronic subdural haematoma. Owing to his age and small size of
the haematoma, patient was not operated on and showed improvement with the
pharmacologic treatment for psychosis. Conclusion: Detailed longitudinal history,
clinical examination, investigations along with high index of suspicion is necessary to
effectively manage this condition. As CSDH is known as a great imitator and is
usually a disease of the elderly, it should be kept in mind while dealing with cases of
late onset psychosis.