Case Report
Volume: 4 | Issue: 11 | Published: Nov 10, 2020 | Pages: 376 - 379 | DOI: 10.24911/ejmcr/173-1575624797
Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report
Authors: Gorkem Karakas Ugurlu , Mustafa Ugurlu , Meltem Kilic , Zuhal Koc Apaydin , Ali Caykoylu
Article Info
Authors
Gorkem Karakas Ugurlu
Faculty of Medicine, Psychiatry Department, Ankara Yıldırım Beyazıt University, Ankara, Turkey
Mustafa Ugurlu
Psychiatry Department, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Meltem Kilic
Faculty of Medicine, Psychiatry Department, Mersin University, Mersin, Turkey
Zuhal Koc Apaydin
Psychiatry Department, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Ali Caykoylu
Faculty of Medicine, Psychiatry Department, Ankara Yıldırım Beyazıt University, Ankara, Turkey
Publication History
Received: December 06, 2019
Revised: September 15, 2020
Accepted: September 24, 2020
Published: November 10, 2020
Abstract
Background: In some medical cases, psychotic symptoms can be part of the clinical picture, and sometimes it can even be the only clinical appearance of the medical condition. Psychotic disorders secondary to organic pathologies affecting the central nervous system are called psychotic disorders due to a general medical condition. While some of these secondary causes can easily be detected by laboratory and imaging methods, anamnesis or neurological examination (substance use, trauma, and tumors), others are often overlooked in the presence of rare medical conditions (autoimmune disease and viral encephalitis), when laboratory and examination findings are not clear and psychiatric symptoms are in the foreground. Case Presentation: In this case, we tried to reveal the differential diagnosis and treatment processes of a patient who was admitted to the emergency department with psychotic symptoms, such as agitation, aggression, and paranoid delusions, and was admitted to the psychiatry clinic after an urgent medical evaluation. After his admission to the psychiatry clinic, the medical evaluation of the patient was re-evaluated in detail due to memory and orientation deterioration, and as a result, clinical pictures such as Hashimotos encephalopathy, herpes encephalitis, and epileptic seizures were found to be together in the patient. As a matter of fact, both general medical and psychiatric statuses of the patient improved with the application of low doses and short term antipsychotic treatment for psychiatric symptoms together with the treatment for this underlying general medical condition. Conclusion: Since the treatment of psychiatric symptoms caused by secondary medical factors is quite different from the treatment of primary psychiatric disorders, it is important to make full medical evaluations, especially in patients presenting with psychiatric symptoms for the first time or presenting with emergency psychiatric symptoms.
Keywords: Hashimotos encephalopathy, herpes encephalitis, psychotic symptoms, seizure, green
Pubmed Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu. Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report. EJMCR. 2020; 10 (November 2020): 376-379. doi:10.24911/ejmcr/173-1575624797
Web Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu. Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report. https://ejmcr.com/articles/1372 [Access: December 26, 2024]. doi:10.24911/ejmcr/173-1575624797
AMA (American Medical Association) Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu. Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report. EJMCR. 2020; 10 (November 2020): 376-379. doi:10.24911/ejmcr/173-1575624797
Vancouver/ICMJE Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu. Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report. EJMCR. (2020), [cited December 26, 2024]; 10 (November 2020): 376-379. doi:10.24911/ejmcr/173-1575624797
Harvard Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu (2020) Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report. EJMCR, 10 (November 2020): 376-379. doi:10.24911/ejmcr/173-1575624797
Chicago Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu. "Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report." 10 (2020), 376-379. doi:10.24911/ejmcr/173-1575624797
MLA (The Modern Language Association) Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu. "Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report." 10.November 2020 (2020), 376-379. Print. doi:10.24911/ejmcr/173-1575624797
APA (American Psychological Association) Style
Gorkem Karakas Ugurlu, Mustafa Ugurlu, Meltem Kilic, Zuhal Koc Apaydin, Ali Caykoylu (2020) Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report. , 10 (November 2020), 376-379. doi:10.24911/ejmcr/173-1575624797