A case of dementia or simple schizoprenia?

2011 ◽  
Vol 26 (S2) ◽  
pp. 489-489
Author(s):  
C. Lee
Keyword(s):  
Case Report ◽  
Negative Symptoms ◽  
Disease Patient ◽  
Middle Aged ◽  
Axial Tomography ◽  
Social Stressors ◽  
Cat Scan ◽  
Middle Aged Person ◽  
Aged Person ◽  
Diagnosis Of Dementia

IntroductionThis is a case report of a Chinese middle-aged female who was first seen in 2006 for suspected depression. Over the course of the illness, her diagnosis was revised to that of Simple Schizophrenia and then Frontoparietal Dementia.CaseA 53 years old Chinese lady was first brought by a male friend (who has known her for past 21 years) in 2006 to continue management for her depression. For the preceding 3–4 years, her behaviour has been very child-like. She was described premorbidly to be stubborn and independent. Mental state examination then revealed that she was oriented to time, place and person. Her mood appeared depressed and reactive (secondary to some social stressors). Patient refused any basic blood investigations and her antidepressant was continued. Over the course of few months, she started to complain of forgetfulness and she was reported to go ‘missing’ for 1 to 2 hours. A differential diagnosis of chronic negative symptoms schizophrenia was entertained. In August 2007, she was arrested for shoplifting and was treated as an inpatient. Upon discharge, she was referred to a nursing home. By October 07, she was totally disoriented to time and place. Computed Axial Tomography (CAT) scan of brain was eventually performed which reported as ‘knife-shaped appearance’ of cortical gyri suggestive of frontoparietal dementia, possible Pick’s Disease. Patient is currently on antidementia therapy.ConclusionThe case report illustrates the importance of entertaining diagnosis of dementia in a middle-aged person especially with symptoms of regression and wandering behaviour.

Dissimilarities Between Illusion And Reality In Herzog By Saul Bellow

Think India ◽  
2019 ◽  
Vol 22 (2) ◽  
pp. 512-514
Author(s):  
K. SUVARNA LAKSHMI ◽  
M. RAVICHAND ◽  
V. B. CHITHRA
Keyword(s):  
Life Time ◽  
Nobel Laureate ◽  
Saul Bellow ◽  
Middle Aged ◽  
Happy Life ◽  
One Stage ◽  
Middle Aged Person ◽  
Aged Person ◽  
Unpublished Letter ◽  
The Dead

Mosses Herzog is a disappointed middle-aged person. He always led his life in illusion. He is expecting more from his life and wants to lead a happy life with family.  But the things come to pass in his life are entirety fluctuate from his expectations. He spends the majority of his life time in illusion only. He has two wives and he predictable more affection and love from them, he disillusioned when he not get his expectations from them. At one stage he planned to murder his former wife. The protagonist, Professor Mosses Herzog has a tendency to write letters that will never be sent to the famous, the dead, his friends, and his family. A prolific Nobel Laureate Saul Bellow inspected the Moses mind with his unpublished letter. The writer exhibits the dissimilarity linking the expectations and reality of the protagonist life with his notable work Herzog.

scholarly journals A rare instance of retrosternal goitre presenting with obstructive sleep apnoea in a middle-aged person

2013 ◽  
Vol 4 (12) ◽  
pp. 1064-1066 ◽  
Author(s):  
Jude Rodrigues ◽  
Renny Furtado ◽  
Anant Ramani ◽  
Nivedita Mitta ◽  
Shantata Kudchadkar ◽  
...  
Keyword(s):  
Obstructive Sleep Apnoea ◽  
Sleep Apnoea ◽  
Middle Aged ◽  
Middle Aged Person ◽  
Aged Person ◽  
Obstructive Sleep ◽  
Rare Instance

scholarly journals On Metalepsis

2019 ◽  
Vol 47 (3) ◽  
pp. 645-649
Author(s):  
Wendy Veronica Xin
Keyword(s):  
West Coast ◽  
Middle Aged ◽  
The West ◽  
Red Eye ◽  
Subject Line ◽  
Middle Aged Person ◽  
Aged Person ◽  
Subsequent Response

Even before I heard about this celebration of Elaine Freedgood's work and mentorship, I was already thinking about how I'd come to know her and about the numerous ways she has shaped my writing and my writing life. This reflection was prompted, inadvertently, by Elaine herself. A little while back, Elaine wrote me an email with the always-thoughtful subject line, “How are you, my friend?” Except, Elaine had forgotten the comma after “you,” so it read instead, “How are you my friend?” This message made me laugh, as did her subsequent response about leaving out that crucial comma. Elaine came to be an unusually generous mentor through the most usual of circumstances. I was first put in touch with her when she came to Berkeley to give a talk called “The Secret Life of Diegesis,” five years ago. I have a vivid memory of the emails we'd exchanged about booking flights and reserving hotel rooms and all that—usually these would be somewhat tedious issues to sort through, but Elaine's typically dry humor enlivened even the driest of topics. When asked if she wanted to “be a trooper” and take a red-eye over to the West Coast, she responded, “Thanks so much. I would be a trooper if necessary but of course would rather be a pathetic middle-aged person (i.e., myself).”

Hypofrontality in Schizophrenia: A Review of the Evidence*

1987 ◽  
Vol 32 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Peter Williamson
Keyword(s):  
Frontal Lobe ◽  
Negative Symptoms ◽  
Axial Tomography ◽  
Cat Scan ◽  
Positron Emission ◽  
Frontal Lobe Function ◽  
Schizophrenic Patients ◽  
Computerized Axial Tomography ◽  
Magnetic Resonance Imaging Mri ◽  
Pet Scans

This paper reviews the possible role of frontal lobe dysfunction in the pathophysiology of schizophrenia. Pathological, computerized axial tomography (CAT) scan and magnetic resonance imaging (MRI) studies have indicated that a substantial number of schizophrenic patients show structural abnormalities in the frontal lobe areas and other parts of the brain. In some cases, these changes can be correlated with negative symptoms. Attempts to study frontal lobe function with neuropsychological tests, topographic EEG, cerebral blood flow (CBF) and positron emission tomography (PET) scans have also indicated that a substantial number of schizophrenics show abnormalities compared to normal controls. However, these abnormalities can be seen to some degree in other conditions. As well, patients early in the course of their illness tend not to show frontal lobe functional abnormalities. The implications of these findings for current theories of schizophrenia are discussed.

scholarly journals Double Aortic Arch – A Case Study

2017 ◽  
Vol 10 (1) ◽  
pp. 91-93
Author(s):  
Jahan Afroze ◽  
Musavvir Samin
Keyword(s):  
Aortic Arch ◽  
Clinical Skills ◽  
Vascular Ring ◽  
Final Diagnosis ◽  
Double Aortic Arch ◽  
Middle Aged ◽  
Ct Angiogram ◽  
Middle Aged Person ◽  
Aged Person ◽  
Arch System

Double aortic arch (DAA) is one of the 2 most common forms of vascular ring, a class of congenital anomalies of the aortic arch system in which the trachea and esophagus are completely encircled by connected segments of the aortic arch and its branches. The aim of this study is to describe a case of DAA in a middle aged person. A 40 year old male came to outdoor patient department with cough and breathlessness since childhood which was diagnosed earlier as bronchial asthma, cold allergy, and dust allergy. The final diagnosis DAA was made after CT angiogram. Establishing a diagnosis of DAA in a middle aged person requires thorough understanding and clinical skills in performing steps.Cardiovasc. j. 2017; 10(1): 91-93

scholarly journals Non-clostridial gas gangrene of a diabetic foot with COVID-19 infection

2020 ◽  
Vol 7 (9) ◽  
pp. 3156
Author(s):  
Girish D. Bakhshi ◽  
Owais Ahmed Patel ◽  
Dinesh Pawar ◽  
Jessicka Shah
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Lower Limb ◽  
Diabetic Foot ◽  
Gas Gangrene ◽  
Review Of Literature ◽  
Middle Aged Person ◽  
Aged Person ◽  
Clostridial Group

Gas gangrene is a manifestation of soft tissue infection by clostridial group of bacteria. Non-clostridial gas gangrene is uncommon and seen rarely in diabetics. In the era of COVID-19 pandemic where COVID-19 itself induces hyperglycemia non clostridial gas gangrene may arise due to altered immunity. We present a case of non clostridial gas gangrene of lower limb in a middle aged person who was not a known diabetic. A brief case report with review of literature is presented.

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