1.A Case Of Conversion Disorder Associated With An Arachnoid Cyst
ASEAN Journal of Psychiatry 2012;13(1):1-5
Objective: This case report highlights arachnoid cyst, a rare benign space-occupying lesions (SOL) formed by an arachnoid membrane containing cerebrospinal fluid
(CSF) which in most cases, are identified by accident. Conversion disorder is characterized as a deficit or distortion in neurological functioning, or symptoms
suggesting a general medical condition that is not referable to an organic lesion. Methods: We report a case of a 24 year old woman who came to a psychiatrist with
history of suicide attempt. She had a history of failed marriage but no history of substance abuse. She had a history of dizziness, light-headedness, blurred vision,
seizure and headache for a while. Seizure was identified to be pseudo seizures in further assessments. Results: Diagnosis of Conversion Disorder with Adjustment
Disorder was revealed. In Barin Computerized Tomography (CT) scan there was an extra axial cystic lesion with the height, frontooccipital and lateral size of
approximately 6.4 cm by 4 cm by 2.5 cm respectively in the left anterior middle fossa and Sylvian fissure. Based on patient's history, the arachnoid cyst and its symptoms
may have a synergistic effect on patient's symptoms of conversion disorder. Conclusion: This case reflects the importance of ruling out medical problems in
patients with psychiatric symptoms.
2.A Case Of Neuroleptic Malignant Syndrome With Quetiapine From Iran
Bidaki Reza ; Pour Rashidi Ahmad ; Mansoori Mohammad
ASEAN Journal of Psychiatry 2012;13(1):1-3
Objective: To report a case of neuroleptic malignant syndrome (NMS), secondary to low dose quetiapine in an elderly Iranian man. Methods: We report a 66-year-old
male presented with a temperature of 39.30c, dysphagia, aphasia and decreased level of consciousness and mutism following the use of 25 mg quetiapine. Results: Some
evidence suggests an atypical NMS presentation with the atypical antipsychotics. Atypical NMS has been defined as less severe than that seen with conventional
antipsychotics. Symptoms include fewer EPS, smaller increases in CK, less muscle rigidity, and lower fever. Conclusion: Clinicians should be aware that NMS with a
single dose of quetiapine is possible.
3.The prevalence of internet addiction among students of Rafsanjan University of Medical Sciences
Mashaei Naffise ; Asadpour Mohammad ; Pourrashidi Boshrabadi Ahmad ; Rezahosseini Omid ; Ayatollahi A ; Bidaki Reza ; Arab BaniAsad Fatemeh
ASEAN Journal of Psychiatry 2013;14(2):1-8
Internet addiction is defined as mismanagement of internet use that causes mental, social and occupational problems. Thus, the assessment of prevalence
of this disorder can lead to preventive measures and appropriate treatment to prevent its spread. Methods: In this cross-sectional study, prevalence of internet
addiction disorder was assessed in Rafsanjan University of Medical Sciences, Rafsanjan, Iran in 2012. Stratified random sample was used to select 224 students.
Demographic data were recorded and Internet Addiction test Test (IAT) questionnaire was administrated. Results: Out off 224 students participating in the
study, 86 (38.4%) were males and 138 (61.6%) were female with a mean age of 21.05± 0.1 years. Most of the students (42.4%) were using the internet "under one
hour" and the lowest (4%) "More than six hours". Mean test score of IAT was 24.81 ± 1.08 (mild addiction). In terms of internet addiction, 95 (42.4%) cases were
normal users, 115 (51.3%) had mild addiction, 12 (5.4%) showed moderate addiction and 2 (0.9%) were cases of severe addiction which are lower compared to
previous studies. Conclusion: The rate of internet addiction among students of
Rafsanjan University of Medical Sciences in Iran is lower than the previous reports. It is still necessary to curb the spread of this problem due to its complications.