A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
Aim and background: The diagnosis of organic psychosis is made when psychotic symptoms present after a specific neurological or organic event. One such dysfunction of brain structure is encephalomalacia, which refers to softening of brain tissue and can present with varying symptomatology. There is...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Jaypee Brothers Medical Publisher
2024-01-01
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| Series: | Indian Journal of Private Psychiatry |
| Subjects: | |
| Online Access: | https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0142 |
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| Summary: | Aim and background: The diagnosis of organic psychosis is made when psychotic symptoms present after a specific neurological or organic event. One such dysfunction of brain structure is encephalomalacia, which refers to softening of brain tissue and can present with varying symptomatology. There is a dearth of cases reported showing quick recovery in patients with organic psychosis attributable to encephalomalacia.
Case description: A 25-year-old female presented with acute onset aggressiveness, insomnia, social withdrawal, paranoid ideation, hallucinatory behavior, reduced appetite, and poor self-care. Routine investigations were normal. The computed tomography (CT) scan brain plain revealed encephalomalacia in the left parietal lobe. Organic psychosis was kept as a provisional diagnosis. There was a satisfactory outcome on low-dose antipsychotic on follow-up day 14. She came for follow-up till 3 months and was maintaining well.
Conclusion: Encephalomalacia in left parietal lobe region can present with acute psychosis and relatively quick and satisfactory outcome can be seen. |
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| ISSN: | 2319-5363 2583-4010 |