RESUMO
Peripheral neuropathy secondary to lithium is under-recognized. Most cases of polyneuropathy were reported with lithium intoxication. However, very few cases were reported without lithium toxicity. We present a case of motor neuropathy due to the use of lithium in a 26-year-old male with a therapeutic lithium level.
RESUMO
Obsessive-compulsive disorder (OCD) is one of the most prevalent psychiatric disorders in children and adolescents. The phenomenology of OCD in children and adolescent is strikingly similar to that of adults. But at times, the presentation of OCD may be so atypical or unusual in children and adolescents that may lead to misdiagnosis or delay in diagnosis. We report a case of 10-year-old child who was initially misdiagnosed with schizophrenia, and treated with antipsychotic for 2 months. But once the core symptoms were recognized as obsessions and compulsions and appropriately treated in the line of OCD, the symptoms resolved significantly.
RESUMO
Electroconvulsive therapy (ECT) is a recognized and effective treatment in adults for several psychiatric disorders. However, the lack of knowledge and experience with the use of ECT among child and adolescent psychiatrists is an obstacle to its appropriate use. Treatment using ECT in children of prepubertal age has been less reported. We present a case of 10-year-old child with a diagnosis of acute and transient psychotic disorder with catatonic features, where we have used ECT successfully.
Assuntos
Transtorno Bipolar/etiologia , Malformações Arteriovenosas Intracranianas/complicações , Paresia/etiologia , Lobo Temporal/irrigação sanguínea , Tálamo/irrigação sanguínea , Adolescente , Antimaníacos/uso terapêutico , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/tratamento farmacológico , Angiografia Cerebral , Feminino , Lateralidade Funcional , Humanos , Malformações Arteriovenosas Intracranianas/diagnóstico , Paresia/diagnóstico , Tomografia Computadorizada por Raios X , Ácido Valproico/uso terapêuticoAssuntos
Controle de Medicamentos e Entorpecentes/legislação & jurisprudência , Entorpecentes , Psicotrópicos , Aprovação de Drogas/legislação & jurisprudência , Humanos , Drogas Ilícitas/legislação & jurisprudência , Índia , Cooperação Internacional/legislação & jurisprudência , Legislação de Medicamentos , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Nações Unidas/legislação & jurisprudênciaRESUMO
Disulfiram is widely used for aversive treatment of alcoholism. Neuropathy is one of the most severe side effects of disulfiram therapy. We report the case of a young man who developed a neuropathy following disulfiram administration, with a virtually complete recovery within 2 months.
Assuntos
Dissuasores de Álcool/efeitos adversos , Dissulfiram/efeitos adversos , Doenças do Sistema Nervoso Periférico/induzido quimicamente , Adulto , Alcoolismo/tratamento farmacológico , Humanos , MasculinoRESUMO
Organophosphate poisoning is the most common poisoning in developing countries. Although the acute muscarinic and nicotinic side-effects of organophosphate poisoning are well known and easily recognized, but neuropsychiatric changes are rarely reported. We are reporting a case of a 33-year-old female who developed manic episode following acute organophosphate poisoning.