scholarly journals Recommendation of Repeated Ammonia Tests for Intrahepatic Portal-Systemic Shunt Without Cirrhosis in Elderly Patients With Psychiatric Symptoms

2017 ◽  
Vol 8 ◽  
pp. 117906601769359
Author(s):  
Michiaki Abe ◽  
Temma Soga ◽  
Nobuya Obana ◽  
Kazumasa Seiji ◽  
Masao Tabata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Elderly Patients ◽  
Psychiatric Disorder ◽  
Male Patient ◽  
Psychiatric Symptoms ◽  
Blood Ammonia ◽  
Elderly Male ◽  
Blood Tests ◽  
Portal Systemic Shunt

We report an elderly male patient with hyperammonemia induced by intrahepatic portal-systemic shunt without cirrhosis (IPSSwoC). The occasional emergence of his erratic behaviors was misdiagnosed as a psychiatric disorder. Regardless of his uneven symptoms, IPSSwoC was suspected due to his hyperammonemia. The contrast computed tomography of the abdomen revealed a congenital type of IPSSwoC. As blood ammonia levels are inconstant, repeated blood tests are recommended when this disease is suspected in elderly patients with psychiatric symptoms.

scholarly journals Partial Response to First-Line Crizotinib in an Elderly Male Patient with ROS1 Translocation-Positive Lung Cancer

2016 ◽  
Vol 9 (1) ◽  
pp. 158-163 ◽  
Author(s):  
Tobias R. Overbeck ◽  
Katja Schmitz ◽  
Christoph Engelke ◽  
Carsten-Oliver Sahlmann ◽  
Sara Hugo ◽  
...  
Keyword(s):  
Partial Response ◽  
Elderly Patients ◽  
Male Patient ◽  
Metabolic Response ◽  
Female Gender ◽  
First Line ◽  
Elderly Male ◽  
First Line Therapy ◽  
Pet Ct ◽  
Fdg Pet Ct

We report on a 90-year-old male patient with a ROS1-translocated adenocarcinoma of the lung who was treated with crizotinib as first-line therapy. After 11 months of treatment, we noticed complete metabolic response as measured by 18F-FDG-PET/CT scan and a partial response according to RECIST criteria. This patient indicates that ROS1 translocations are not restricted to young age, female gender and low stage. Furthermore, this case illustrates exemplarily that crizotinib therapy is effective and manageable even as first-line treatment in elderly patients with comorbidities. Based on our findings, we recommend to include elderly patients with advanced pulmonary adenocarcinomas in molecular screening approaches for ROS1 translocations.

Neuroimaging and the Origin of Psychiatric Symptoms in Dementia

1997 ◽  
Vol 8 (S3) ◽  
pp. 239-243 ◽  
Author(s):  
David L. Sultzer
Keyword(s):  
Computed Tomography ◽  
Density Functional ◽  
Psychiatric Symptoms ◽  
Functional Neuroimaging ◽  
Single Photon ◽  
Photon Emission ◽  
Emission Computed Tomography ◽  
Positron Emission ◽  
Single Photon Emission Computed ◽  
Photon Emission Computed Tomography

Neuroimaging studies have contributed greatly to our understanding of Alzheimer's disease and other dementias. Computed tomography and magnetic resonance imaging reveal brain structure and aid in the diagnostic evaluation of patients with cognitive impairment. Functional neuroimaging studies use positron emission tomography, single-photon emission computed tomography, and other methods to measure regional cerebral activity, including metabolic rate, blood flow, and neuroreceptor density. Functional neuroimaging results can be useful clinically and have also been used in a variety of research applications to examine physiologic variables in neuropsychiatric illnesses.

Cocaine Dependence Produce Psychiatric Symptoms - a Case Report

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
M. Stankovic ◽  
S. Vucetic-Arsic ◽  
S. Alcaz ◽  
J. Cvejic
Keyword(s):  
Clinical Features ◽  
Male Patient ◽  
Psychiatric Symptoms ◽  
Cocaine Dependence ◽  
Psychotic Symptoms ◽  
Personal Contact ◽  
Outpatient Unit ◽  
Special Hospital ◽  
First Time ◽  
The Brain

Aim:We want to present a polymorphic clinical features like: hallutinations, paranoid ideas, agitation and violence as a result of prolonged cocaine intranasal consumption.Methods:We exposed a 30-year old male patient with ICD-X diagnostic criteria for cocaine dependence (intranasal consumption) that treated in the outpatient unit of Special Hospital of Addicitons, Belgrade, Serbia from April to July 2008. We used the medical records, psychical examination, psychiatric interwievs, standard blood sampling and cocaine urine detections sample (positive).Results:Observations a specific and polymorphic clinical features with presence of psychotic symptoms after cocaine consumptions in our male patient, for the first time after 5 years of cocaine dependence: auditory hallucinations (two- voice speakers), paranoid persecution ideas and suspiciousness, agitation with appearance of vegetative symptomatology (palpitations, sweating, pupil dilatation), extremely violence behavior to other people, complete social reductions (“armed to the outside world”, refused any personal contact and isolated from friends and family, permanent outdoor checking). There was an intensive fear too and impaired judgment.Conclusions:Permanent cocaine consumption can result with produce a numerous of psychiatric symptoms and syndromes as our experience does. It is similar to the findings of other studies and papers reviewed. It is suppose that cocaine has numerous effects on important neurotransmitters in the brain, such as increase as well as the release of dopamine and it related with aggressiveness, hallucinations and other psychiatric symptoms.

Agoraphobia and Parental Bereavement

1987 ◽  
Vol 21 (3) ◽  
pp. 340-344 ◽  
Author(s):  
R. Julian Hafner ◽  
Michael J. Roder
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Psychiatric Symptoms ◽  
Married Women ◽  
Control Group ◽  
Parental Bereavement ◽  
Significant Excess ◽  
Patient Control ◽  
Patient Control Group ◽  
Married Female

The prevalence of parental bereavement was determined in 50 married female outpatients with a DSM-III diagnosis of agoraphobia and in a control group of married female outpatients diagnosed as having non-psychotic psychiatric disorders other than agoraphobia. The two groups were matched for age and overall severity of psychiatric symptoms. Compared with the general population, the patient control group reported a statistically significant excess of parental, but not maternal, bereavement. The agoraphobic group was significantly younger than the control group at the time of parental loss. These data, together with other reports, suggest a contribution of paternal bereavement before the age of 30 years to agoraphobia in married women and a contribution of recent parental bereavement to psychiatric disorder in general.

Atypical Stress Induced Cardiomyopathy During Endoscopic Sinus Surgery With Septoplasty in an Elderly Male Patient

2013 ◽  
Vol 17 (4) ◽  
pp. 219-222 ◽  
Author(s):  
Hee Sook Lee ◽  
Jae Ryung Yi ◽  
Yu Na Jung ◽  
Gi Ho Jo ◽  
Jung Ju Sir ◽  
...  
Keyword(s):  
Male Patient ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Elderly Male

scholarly journals Inguinal ulcerated sebaceous carcinoma: an unusual presentation

2013 ◽  
Vol 88 (6 suppl 1) ◽  
pp. 48-51 ◽  
Author(s):  
David Oschilewski Lucares ◽  
Fred Bernardes Filho ◽  
Hernando Vega ◽  
Bernard Kawa Kac ◽  
Maria Rita Pereira ◽  
...  
Keyword(s):  
Male Patient ◽  
Clinical Manifestation ◽  
Clinical Presentation ◽  
Sebaceous Carcinoma ◽  
The Body ◽  
Skin Tumor ◽  
Diagnostic Challenge ◽  
Elderly Male ◽  
Genital Ulcers ◽  
Clinical Description

Sebaceous carcinoma is a rare and aggressive skin tumor. It can be located in any area of the body, the most commonly involved area being the periorbital region. It does not entail a typical clinical presentation, which explains the often late diagnosis. The aim of this report is to outline the rarity of the disease and its atypical clinical description, since to this day, inguinal ulcers with clinical manifestation have not been reported. We present and discuss a case of sebaceous carcinoma with an unusual clinical presentation, in an elderly male patient. The precise approach to genital ulcers, as shown in this case, is a diagnostic challenge that requires a great deal of effort on the part of the clinician.

scholarly journals Schwannomatosis: report of a new case

1992 ◽  
Vol 50 (4) ◽  
pp. 539-542 ◽  
Author(s):  
Nélida S. Garretto ◽  
David Monteverde ◽  
Héctor Giócoli ◽  
Blanca I. Ravera ◽  
Hugo A. Molina ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporal Lobe ◽  
Male Patient ◽  
Clinical Examination ◽  
Peripheral Nerves ◽  
Present Condition ◽  
Type I ◽  
Type Ii ◽  
Left Temporal Lobe ◽  
Brain Computed Tomography

Schwannomatosis is a rare disorder, still not quite well defined, seldom described in the literature. In this paper we report the case of male. Patient, 52 years old, who in the last 30 years developed five subcutaneous tumors within his limbs peripheral nerves, which histologically proved to be schwannomas. A brain computed tomography showed a partially calcified tumor in the left temporal lobe which most likely was a meningioma. A thorough clinical examination was unable to find signs of type I or type II neurofibromatosis. The present condition, probably a form of phacomatosis, has to be distinguished from neurofibromatosis and is considered as an independent clinical entity whose origin still awaits further detailed investigations.

ACQUIRED COLOR BLINDNESS IN AN ELDERLY MALE PATIENT FROM RECURRENT METASTATIC PROSTATE CANCER

2005 ◽  
Vol 53 (7) ◽  
pp. 1265-1267 ◽  
Author(s):  
David G. Harper ◽  
Edward L. Arsura ◽  
Ravi K. Bobba ◽  
Chakradhar M. Reddy ◽  
Amar K. Sawh
Keyword(s):  
Prostate Cancer ◽  
Male Patient ◽  
Metastatic Prostate Cancer ◽  
Color Blindness ◽  
Elderly Male
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