1.Psychosis, Treatment Emergent Extrapyramidal Events, and Subsequent Onset of Huntington's Disease: A Case Report and Review of the Literature.
Changqing XU ; Jegan YOGARATNAM ; Nigel TAN ; Kang SIM
Clinical Psychopharmacology and Neuroscience 2016;14(3):302-304
Huntington's disease (HD) is an autosomal dominant neurodegenerative disease characterized by a triad of progressive motor dysfunction, cognitive decline and psychiatric disturbances. The hallmark of HD is the distinctive choreiform movement disorder that typically has a subtle, insidious onset in the fourth to fifth decade of life and gradually worsens over 10 to 20 years until death. Notably, two-thirds of HD patients present with chorea and one third with mental changes. The prevalence of psychiatric symptoms is significantly higher than in the general population, and is estimated to be around 66–73%. Here, we report a unique case of subsequent onset of HD in a patient previously treated for schizophrenia and complicated by the extrapyramidal side effects to antipsychotics.
Antipsychotic Agents
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Chorea
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Humans
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Huntington Disease*
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Neurodegenerative Diseases
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Prevalence
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Psychotic Disorders*
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Schizophrenia
2.Prolonged Delirium Secondary to Hypoxic-ischemic Encephalopathy Following Cardiac Arrest.
Jegan YOGARATNAM ; Rajesh JACOB ; Sandeep NAIK ; Harish MAGADI ; Kang SIM
Clinical Psychopharmacology and Neuroscience 2013;11(1):39-42
Hypoxic-ischemic brain injury encompasses a complex constellation of pathophysiological and cellular brain injury induced by hypoxia, ischemia, cytotoxicity, or combinations of these mechanisms and can result in poor outcomes including significant changes in personality and cognitive impairments in memory, cognition, and attention. We report a case of a male patient with normal premorbid functioning who developed prolonged delirium following hypoxic-ischemic brain insults subsequent to cardiac arrest. The case highlights the importance of adopting a multidisciplinary treatment approach involving the coordinated care of medical and nursing teams to optimise management of patients suffering from such a debilitating organic brain syndrome.
Anoxia
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Brain
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Brain Injuries
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Cognition
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Delirium
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Heart Arrest
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Humans
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Hypoxia-Ischemia, Brain
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Ischemia
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Male
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Memory
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Neurologic Manifestations
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Stress, Psychological