Show simple item record

dc.contributor.authorDeng, Xiaolin
dc.contributor.authorNegro, Paulo J
dc.contributor.authorJung, Patrick L
dc.contributor.authorMarano, Christopher M
dc.contributor.authorKnight, Stephanie
dc.contributor.authorDoddi, Seshagiri R
dc.contributor.authorNimo, Nana Y A
dc.contributor.authorLeMalefant, Rachel M
dc.contributor.authorMyers, Drew A
dc.contributor.authorHaake, Andrea K
dc.contributor.authorChandler, Rebecca
dc.date.accessioned2022-05-31T18:09:16Z
dc.date.available2022-05-31T18:09:16Z
dc.date.issued2022-05-17
dc.identifier.urihttp://hdl.handle.net/10713/19031
dc.description.abstractOur patient Mr. A is a mentally and physically disabled gentleman. He was first diagnosed with bipolar disorder as a teenager. He incurred a lumbar spinal injury due to a motor vehicle incident in his 20s which led to weakness, numbness, and frequent infection over both of his lower extremities. He also developed alcohol addiction over the course of his life. Mr. A presented to our facility with complicated neuropsychiatric symptoms. By adopting various clinical strategies, we were able to control his symptoms of agitation, self-harm, mood swings, and stereotyped behavior. However, we were not able to improve his neurocognitive functioning or speech impairment which seemed to become severe and irreversible in a period of a few months. We felt disappointed and perplexed by the mixed treatment responses. To understand Mr. A's clinical presentation, various laboratory tests and imaging studies were performed. Different psychotropic medications were used to manage his symptoms. Gradually, we felt that we were able to understand this case better clinically and etiologically. His bipolar disorder, alcohol addiction, and physical injury had likely all contributed to his neuropsychiatric symptoms, directly or indirectly. It is highly possible that an alcohol-related progressive dementia along with his chronic bipolar disorder played a key role in the progression of his brain neurodegeneration. Also, Wernicke-Korsakoff syndrome could reasonably be considered having developed during his clinical course. Moreover, the fluctuation of the patient's neuropsychiatric symptoms we observed during his hospitalization reflects the increased vulnerability of the human brain under sustained neurodegeneration.en_US
dc.description.urihttps://doi.org/10.1155/2022/8162871en_US
dc.language.isoenen_US
dc.publisherHindawien_US
dc.relation.ispartofCase Reports in Psychiatryen_US
dc.rightsCopyright © 2022 Xiaolin Deng et al.en_US
dc.titleClinical evaluation and management of a 45-year-old man with confusion, psychosis, agitation, stereotyped behavior, and impaired speech.en_US
dc.typeArticleen_US
dc.identifier.doi10.1155/2022/8162871
dc.identifier.pmid35620411
dc.source.journaltitleCase reports in psychiatry
dc.source.volume2022
dc.source.beginpage8162871
dc.source.endpage
dc.source.countryUnited States


This item appears in the following Collection(s)

Show simple item record