No abstract available.
Psychotic Disorders* ; Turner Syndrome*

Leopard syndrome is a neurocutaneous syndrome which may affect a variety of organ systems in the embryological aspects. It presents lentigines, EKG abnormalities, ocular hypertelorism, pulmonary stenosis, abnormalities of genitalia, retardation of growth, and deafness as major teatures.We report a case of Leopard Syndrome with atypical psychotic features. The patient had many lentigenies on the face, cafe au lait spots on the part of the waist and the buttocks, mild atrial regugitation, clinodactyly, hyperextensibility of distal interphalangeal joint, flat foots, subclinical hypothyrodism, sensorineural deafness, and mild mental retardation. He also had autistic disorder, compulsion, pathologic collection, and violent behaviors as psychiatric problems. This raises a possibility that psychiatric diseases may be related to the variation of neuroectoderm. In clinical practice, when psychopathic patients with specific skin lesions are seen for consultation, the consideration of embryologically common aspects of both disease groups can be helpful to the discovery of abnormalities in other organs and to its treatment.
Autistic Disorder ; Buttocks ; Cafe-au-Lait Spots ; Deafness ; Electrocardiography ; Flatfoot ; Genitalia ; Humans ; Hypertelorism ; Intellectual Disability ; Joints ; Lentigo ; LEOPARD Syndrome* ; Neural Plate ; Neurocutaneous Syndromes ; Panthera* ; Psychotic Disorders* ; Pulmonary Valve Stenosis ; Skin

No abstract available.
Catatonia*

No abstract available.
Catatonia*

No abstract available.
Adolescent* ; Humans ; Male*

OBJECTIVES: The object of this study was to help the clinicians understand the characteristics of the sailors who were admitted to the psychiatric ward through elucidating the transition in the psychiatric aspect of them. METHODS: The results obtained from psychiatric records of 98 sailors who were admitted to department of psychiatry in a general hospital, from March 1, 1985 to Feb. 28, 1994 were compared with the results obtained from 34 sailor inpatients in the same hospital from March 1, 1982 to Feb. 28, 1985. RESULTS: 1) The number of sailor inpatients showed declining tendency and the age of them showed increasing tendency. 2) The number of patients of somatoform disorder, posttraumatic stress disorder, and organic mental disorder was increased. The number of patients of schizophrenia and mood disorder was decreased. 3) The proportion of inpatients from overseas fishing ship was increased markedly. We must ave a countplan and careful consideration f3r them. 4) We could infer that the groups of low education, crew, overseas fishing ship and below S year of employment duration had high admitted patient occurrence rate. The proportion of psychosis in the groups that were primitive school graduated and 1-5 year of employment duration was high relatively to neurosis(statistically not significant). 5) According to psychological test, the majority of sailor inpatients had constricted thought content, emphasis of responsibility for the family, submissive attitude to an authoritive figure and paranoid tendency. The MMFI profile of neurotic patients showed the tendency of finking bad.
Neurocognitive Disorders ; Education ; Employment ; Hospitals, General* ; Humans ; Inpatients* ; Military Personnel* ; Mood Disorders ; Psychological Tests ; Psychotic Disorders ; Schizophrenia ; Ships ; Somatoform Disorders ; Stress Disorders, Post-Traumatic

Authors experienced a case of insulinoma which was initially misdiagnosed as idopathic temporal lobe epilepsy with automatism. This patients did not show other hypoglycemic symptoms except seizure. It has been reported that some of the patients with insulinoma are unaware of hypoglycemia and are at increased risk for seizures and coma. These patients would have normal glucose uptake in the brain and consequently no sympathoadrenal activation would begin, resulting in an awareness of hypoglycemia. It this case, abnomal EEG pattern consistent with a complex partial seizure remained after successful operation. Recent reports indicate that hypoglycemia is capable of killing neurons in the brain. An endogenous neurotoxin is produced and is released by the brain into tissue and cere-brospinal fluid. Endogenous excitotoxins produced during hypoglycemia may explain the tendency toward seizure activity often seen clinically. We suggest that persistent abnormalities of EEG in this case may be related to focal neuronal damage in hypoglycemia.
Automatism ; Brain ; Coma ; Electroencephalography* ; Epilepsy, Temporal Lobe* ; Glucose ; Homicide ; Humans ; Hypoglycemia ; Insulinoma* ; Neurons ; Neurotoxins ; Seizures ; Temporal Lobe*

Mirtazapine-a newly developed drug with reduce adverse effects and toxicity of original antidepre-ssants-has been known to have antidepressant effect by enhancing the transmission of norepinephrine and serotonin via blockade of alpha2-noradrenergic autoreceptor and heteroreceptor and to have common side effects such as sedation, weight gain, and dizziness. We report a case of 50 years old female depressive patient who developed mirtazapine-associated hyperglycemia during treatment with mirtazapine and returned to normal glucose level after stopping the usage of mirtazapine. In patients who receive drugs with the risk of hyperglycemia and diabetes mellitus, we should consider the evaluation for diabetes mellitus and follow it up carefully in the future.
Autoreceptors ; Diabetes Mellitus ; Dizziness ; Female ; Glucose ; Humans ; Hyperglycemia* ; Middle Aged ; Norepinephrine ; Serotonin ; Weight Gain

We report a case of subclavian artery laceration caused by the removal of a pigtail pleural drainage catheter in a patient with a pneumothorax. The patient was successfully resuscitated through diagnostic angiography with subsequent balloon occlusion and primary repair of the injured subclavian artery. Although pigtail drainage of a pneumothorax is known to be safe and effective, proper insertion and removal techniques should be emphasized to reduce the risk of complications.
Angiography ; Balloon Occlusion ; Catheters* ; Drainage ; Hemothorax ; Humans ; Lacerations* ; Pneumothorax* ; Subclavian Artery* ; Thoracostomy

OBJECTIVES: This study was carried out to investigate the characteristics of psychopathology of medical outpatients and to consider the necessity of psychiatric intervention. METHODS: Total 840 subjects were selected for this study. They were divided into two groups; patient group included 482 medical outpatients of our hospital, and the control groups included 190 ordinary people who have not been ill and 168 people who visited health care center. SCL-90-R (Symptom Checklist-90-Revision), BDI (Beck Depression Inventory), and STAI (State-Trait Anxiety Inventory) were used to measure psychopathology. A self-reported questionnaires were conpreted by the subjects and the hospital records were reviewed to find out the clinical characteristics and psychiatric consultation if any. RESULTS: 1) In the results of SCL-90-R, the patient group showed higher levels of somatization, depression, anxiety and psychosis in compared to the control group. 2) In the results of BDI, more people answered that they had serions difficulty in the patient group than in the control group. 3) In the results of STAI, the patient group showed higher score in the trait-anxiety as well as state-anxiety than the control group. 4) Many medical outpatients thought of psychological factor as the cause of their illnesses. 5) Despite medical outpatients were likely to suffer from physical symtoms of psychological causations, psychiatric consultation was no more than 3.1%. CONCLUSION: While medical outpatients showed overt depression, anxiety, somatization, psychosis, there was few psychiatric intervention. In considering that the depression and anxiety have a negative effect on medical outpatients, psychiatric consultation and treatment is needed to expand in the clinical field.
Anxiety ; Delivery of Health Care ; Depression ; Hospital Records ; Humans ; Outpatients* ; Psychology ; Psychopathology* ; Psychotic Disorders ; Surveys and Questionnaires