Psychosis post corona radiata and lentiform nucleus infarction

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - 2 Apr 2015

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Corpus Striatum
Psychotic Disorders
Infarction
Stroke
Brain Infarction
Fluvoxamine
Risperidone
Chlorpromazine
Glycosylated Hemoglobin A
Genetic Predisposition to Disease
Type 2 Diabetes Mellitus
Myocardial Ischemia
Depression
Hypertension
Brain
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Psychosis post corona radiata and lentiform nucleus infarction. / Abdullah, Khadijah Hasanah Abang; Mohamed Saini, Suriati; Sharip, Shalisah; Abdul Rahman, Abdul Hamid.

In: BMJ Case Reports, Vol. 2015, 02.04.2015.

Research output: Contribution to journalArticle

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