Worsening of myasthenia gravis after administration of injectable long-acting risperidone for treatment of schizophrenia; first case report and a call for caution

Abstract Psychosis after traumatic brain injury (TBI) occurs in up to 10% of cases. Although guideline consensus is lacking regarding drugs of choice for this condition, current literature points to the use of atypical antipsychotics. This case describes a 58-year-old male with major neurocognitive disorder due to TBI with behavioral disturbance that was successfully treated with paliperidone palmitate. In addition to the off-label use of paliperidone, this case also explores the use of forced medication as the initial injection was given per guardian consent. After completion of a literature review, this appears to be the first case report describing the use of a long-acting antipsychotic for the treatment of TBI-related psychosis. This case suggests that paliperidone palmitate may be efficacious for psychosis following TBI; however, further study is warranted.

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First case recognized as autoimmune polyglandular syndrome type 2 with myasthenia gravis in Palestine: A case report and literature review

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102575 ◽

2021 ◽

Vol 68 ◽

pp. 102575

Author(s):

Yousef S. Abuzneid ◽

Yasmine Yaghi ◽

Arein Madia ◽

Nataly Salhab ◽

Naser Amro ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Myasthenia Gravis ◽

Syndrome Type ◽

Autoimmune Polyglandular Syndrome ◽

First Case ◽

Autoimmune Polyglandular Syndrome Type

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Myasthenia gravis after glioblastoma resection: paraneoplastic syndrome or coincidence? A unique case report and review of the literature

Acta Neurochirurgica ◽

10.1007/s00701-021-05035-3 ◽

2021 ◽

Author(s):

R. J. Slegers ◽

T. A. M. Bouwens van der Vlis ◽

L. Ackermans ◽

A. Hoeben ◽

A. A. Postma ◽

...

Keyword(s):

Case Report ◽

Brain Tumors ◽

Myasthenia Gravis ◽

Paraneoplastic Syndrome ◽

Neuromuscular Disorders ◽

Postoperative Phase ◽

Review Of The Literature ◽

Unique Case ◽

Total Resection ◽

First Case

Abstract Paraneoplastic neurological syndromes (PNS) can manifest with every type of malignancy. A well-known syndrome is myasthenia gravis (MG) in combination with thymomas. No association between primary brain tumors and neuromuscular disorders has been described. Here, we present a case of a 65-year-old patient who developed MG, following an uncomplicated, gross-total resection of a glioblastoma. To our knowledge, this is the first case describing the onset of MG during the early postoperative phase after glioblastoma resection. Current criteria of PNS are insufficient when the neurological syndrome is diagnosed at the time of a malignancy or shortly thereafter and should be revisited.

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Acute Inferior ST-segment Elevation Myocardial Infarction and Coronary Artery Dissection in a Patient With Myasthenia Gravis: First Case Report

Akdeniz Medical Journal ◽

10.17954/amj.2017.71 ◽

2017 ◽

Vol 3 (1) ◽

Author(s):

Mustafa Serkan KARAKAŞ ◽

Veysel TOSUN ◽

Necmettin KORUCUK ◽

Fatih KOÇ ◽

Remzi YILMAZ

Keyword(s):

Myocardial Infarction ◽

Case Report ◽

Coronary Artery ◽

Myasthenia Gravis ◽

Artery Dissection ◽

Coronary Artery Dissection ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

First Case ◽

St Segment

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Efficacia di Aripiprazolo Long-Acting nel disturbo schizoaffettivo associato a gioco d'azzardo patologico. Un case report.

MISSION ◽

10.3280/mis53-2020oa9241 ◽

2020 ◽

pp. 17-19

Author(s):

Marianna Boso ◽

Irene Famularo ◽

Guido Nosari ◽

Alessandro Castellana ◽

Elena Costantino ◽

...

Keyword(s):

Case Report ◽

Long Acting

Il moltiplicarsi dell'offerta di opportunità di gioco d'azzardo anche in luoghi a bassa soglia di accesso e non dedicati in maniera esclusiva (bar, centri commerciali, tabaccherie), ha rinnovato l'interesse degli esperti riguardo ai costi sociali, economici e psicologici associati a tale pratica.Il comportamento del gioco d'azzardo può condurre ad una dipendenza, riconosciuta e classificata dal DSM5 e può comportare la compromissione del paziente dal punto di vista psichico, familiare e sociale. Questa patologia colpisce una percentuale variabile dall'1% al 3% della popolazione generale. Pertanto, in Lombardia, il numero di persone affette da questo problema potrebbe variare fra 100.000 e 300.000.Nel presente case report viene discusso il caso di un giovane con scompenso psicotico di tipo schizoaffettivo e GAP, che si rivolge al SerD.

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