RESUMEN
Language is a vital component of cognition essential for communication. Proficiency in more than one language has become a norm for many in the current era of globalisation. In neurogenerative conditions decline in language ability leads to early dependency. Studies have reported higher cognitive reserve in multilingual compared to monolinguals. Determining preserved language skills in a patient presenting with cognitive concerns helps in understanding the cognitive reserve, early signs of dementia, the extent of impairment due to language deficits and planning for cognitive stimulation. In this article, we have described an elderly woman with multilinguistic abilities who presented with semantic dementia.
Asunto(s)
Reserva Cognitiva , Demencia Frontotemporal , Multilingüismo , Anciano , Cognición , Femenino , Demencia Frontotemporal/diagnóstico , Humanos , LenguajeAsunto(s)
Agresión/efectos de los fármacos , Benzodiazepinas/efectos adversos , Clonazepam/efectos adversos , Lorazepam/efectos adversos , Agitación Psicomotora/tratamiento farmacológico , Trastornos del Sueño-Vigilia/inducido químicamente , Anciano , Benzodiazepinas/uso terapéutico , Clonazepam/uso terapéutico , Moduladores del GABA/efectos adversos , Moduladores del GABA/uso terapéutico , Humanos , Lorazepam/uso terapéutico , MasculinoRESUMEN
Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is increasingly being recognised to be associated with protean neuropsychiatric manifestations. Anti-NMDAR encephalitis is considered to be the most common amongst the autoimmune-mediated encephalitic disorders. It is caused by the autoantibodies against GluN1 subunits of N-methyl-D-aspartate (NMDA) receptor and manifests with prominent psychiatric symptoms, especially during the initial phase of illness. Literature anti-NMDAR encephalitis presenting with postpartum psychosis is scant. In this report, we present a 28-year-old lady with postpartum psychosis as presenting manifestation of anti-NMDAR encephalitis and discuss the neuropsychiatric manifestations of this emerging entity.
Asunto(s)
Encefalitis Antirreceptor N-Metil-D-Aspartato/diagnóstico , Encéfalo/diagnóstico por imagen , Catatonia/etiología , Periodo Posparto , Trastornos Psicóticos/etiología , Convulsiones/etiología , Adulto , Encefalitis Antirreceptor N-Metil-D-Aspartato/líquido cefalorraquídeo , Encefalitis Antirreceptor N-Metil-D-Aspartato/tratamiento farmacológico , Autoanticuerpos/inmunología , Diagnóstico Diferencial , Femenino , Humanos , Imagen por Resonancia Magnética , Embarazo , Trastornos Psicóticos/diagnóstico , Receptores de N-Metil-D-Aspartato/inmunología , Esteroides/uso terapéuticoRESUMEN
Hypersomnia presents as excessive daytime sleepiness with a prevalence of 7.1% in general population. Hypersomnia has serious negative effects on persons functioning. The aetiology of hypersomnia can be due to neurological conditions, primary sleep disorders, Substance induced, Psychiatric disorders and idiopathic. Klein-Levin syndrome (KLS) is condition characterised by hypersomnia, hyperphagia and hypersexuality. Among the psychiatric disorders, hypersomnia is seen in bipolar depression. In bipolar disorder, hypersomnia can be present during the depressive episode and also inter-episodically. Here is a case report on hypersomnia and diagnostic challenges.
Asunto(s)
Trastorno Bipolar/diagnóstico , Síndrome de Kleine-Levin/diagnóstico , Trastorno Bipolar/complicaciones , Trastorno Bipolar/fisiopatología , Humanos , Síndrome de Kleine-Levin/etiología , Síndrome de Kleine-Levin/fisiopatología , Masculino , Persona de Mediana EdadRESUMEN
Sheehan's syndrome occurs as a result of ischemic pituitary necrosis due to severe postpartum haemorrhage. It is one of the most common causes of hypopituitarism in underdeveloped or developing countries. Characteristic manifestations include failure to lactate or to resume menses, genital and axillary hair loss, asthenia and weakness, fine wrinkles around the eyes and lips, signs of premature aging, dry skin, hypopigmentation and other evidence of hypopituitarism. Uncommonly it can present with psychosis. There are only few case reports of psychoses in patients with Sheehan's syndrome. Our case report illustrates the relationship between psychosis and Sheehan's syndrome. The treatment challenges in managing Sheehan's syndrome and psychosis are discussed.