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: Rahul Bansal, Prerna Maheshwari
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2024-01-01
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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author Rahul Bansal
Prerna Maheshwari
author_facet Rahul Bansal
Prerna Maheshwari
author_sort Rahul Bansal
collection DOAJ
description 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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spelling doaj-art-b9d7bb03f6ec41d09e8f48689ae649832025-08-20T01:51:45ZengJaypee Brothers Medical PublisherIndian Journal of Private Psychiatry2319-53632583-40102024-01-01181333410.5005/jp-journals-10067-01429A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young FemaleRahul Bansal0https://orcid.org/0000-0001-8640-7650Prerna Maheshwari1https://orcid.org/0000-0001-6804-0066Rahul Bansal, Department of Psychiatry, Bansal Hospital, Nabha, Punjab, India, Phone: +91 9815227525Department of Psychiatry, Spandana Nursing Home, Bengaluru, Karnataka, IndiaAim 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.https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0142encephalomalaciagliosispsychosis
spellingShingle Rahul Bansal
Prerna Maheshwari
A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
Indian Journal of Private Psychiatry
encephalomalacia
gliosis
psychosis
title A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
title_full A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
title_fullStr A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
title_full_unstemmed A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
title_short A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
title_sort case of first episode psychosis uncovering encephalomalacia in a young female
topic encephalomalacia
gliosis
psychosis
url https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0142
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AT prernamaheshwari acaseoffirstepisodepsychosisuncoveringencephalomalaciainayoungfemale
AT rahulbansal caseoffirstepisodepsychosisuncoveringencephalomalaciainayoungfemale
AT prernamaheshwari caseoffirstepisodepsychosisuncoveringencephalomalaciainayoungfemale