Psychogenic Coma: Case Report

2003 ◽  
Vol 33 (3) ◽  
pp. 317-322 ◽  
Author(s):  
Cynthia L. Baxter ◽  
William D. White
Keyword(s):  
Case Report ◽  
Antipsychotic Medication ◽  
Clinical Case ◽  
Medical Condition ◽  
Dissociative Disorder ◽  
Short Term ◽  
Not Otherwise Specified ◽  
Dsm Iv ◽  
Underlying Medical Condition

Coma is present when the patient appears asleep, is unrousable, and unresponsive. Where no underlying medical condition is found, the role of the psychiatrist may become prominent. We present a clinical case and review the literature on psychogenic coma. According to DSM-IV-TR, psychogenic coma is a dissociative disorder not otherwise specified. Management is largely supportive. Principles include speaking in a reassuring manner and avoiding repeated painful stimuli. Education of family and other professionals that symptoms are real and not consciously feigned may be important. There may be a short-term role for anxiolytic and/or antipsychotic medication to assist return to consciousness.

scholarly journals Homoeopathic management of dissociative fugue: A case report

2021 ◽  
Vol 4 ◽  
pp. 80-85 ◽  
Author(s):  
Vijaya Sanjay Patil
Keyword(s):  
Academic Performance ◽  
Case Report ◽  
Mental Disorders ◽  
Social Relationships ◽  
Mental State ◽  
Behavioural Problems ◽  
Short Term ◽  
Dsm Iv ◽  
Mental Characteristics

A 14-year-old boy was brought to us with complaints of recurrent fleeing episodes with confusion, short-term amnesia and behavioural problems, including restlessness, obstinacy and temper tantrums. He was diagnosed with dissociative fugue based on the DSM IV criteria. He had undergone counselling with his school counsellor, without much benefits. His illness was affecting his academic performance and relationships with parents and friends. The case was explored from the point of psychosocial stresses and the child’s disposition with characteristic expressions. The homoeopathic remedy Cuprum Metallicum was selected using Kent’s approach, as predominant mental characteristics were available. The selected remedy brought changes at the level of the disease expression (fleeing episodes) as well as the deeper aspect of his sensitivity and behaviour. Improvements occurred in his academic performance, social relationships, behaviour at school as well as his relationship with his parents. This experience emphasises the role of homoeopathy in mental disorders, especially dissociative fugue and also demonstrates the importance of characteristic mental state and expressions when selecting a similimum using Kent’s approach.

scholarly journals Comparison of Different Methods of Prosthetic Rehabilitation in Anterior Region

2015 ◽  
Vol 5 (4) ◽  
pp. 110-113
Author(s):  
Antonio crispino ◽  
Gaetano Pisano ◽  
Leonzio Fortunato
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Clinical Success ◽  
Individual Case ◽  
Anterior Region ◽  
Prosthetic Rehabilitation ◽  
All Ceramic ◽  
Metal Ceramic ◽  
Natural Teeth

ABSTRACT Scope of work The purpose of this work is the analysis and comparison of the various methods available for the realization of fixed restorations on natural teeth in the anterior sector with the presentation of some case report series. Materials and methods The methods used in relation to the clinical case, are the metal-ceramic, the galvan-ceramic, all- ceramic and porcelain veneers. Results It highlights indications and limitations of each of the methods proposed, emphasizing the prominent role of esthetics in the rehabilitation sector of the front. Conclusion The materials and techniques available, with proper clinical evaluation and to a timely therapeutic planning, are the basis of the rehabilitative ideal choice for each individual case, and they also depend on the achievement of clinical success. How to cite this article Crispino A, Pisano G, Fortunato L. Comparison of Different Methods of Prosthetic Rehabilitation in Anterior Region. Int J Prosthodont Restor Dent 2015;5(4):110-113.

Meditation – a two edged sword for psychosis: a case report

2016 ◽  
Vol 33 (4) ◽  
pp. 247-249 ◽  
Author(s):  
P. Sharma ◽  
S. Singh ◽  
S. Gnanavel ◽  
N. Kumar
Keyword(s):  
Case Report ◽  
Antipsychotic Medication ◽  
Health Benefits ◽  
Temporal Correlation ◽  
Spiritual Health ◽  
Psychotic Symptoms ◽  
Beneficial Effects ◽  
Precipitating Factor

Meditation is believed to have many health benefits apart from enhancing spiritual health. However, there is evidence that meditation may even lead to psychosis or worsen it in some cases. The aim of this paper is to present a case and discuss the role of meditation as a precipitating factor to psychosis. A 27-year-old male presented with psychotic symptoms with a temporal correlation with meditation. He was then successfully treated with antipsychotic medication and is maintaining well. This case report highlights the possibility that intense meditation could precipitate psychosis in vulnerable individuals. However, there are several beneficial effects of meditation in patients with psychosis if practiced with caution.

scholarly journals Role of Histopathological Analysis in Diagnosing Steroid Cell Tumour: A Case Report

2019 ◽  
Vol 2 (1) ◽  
pp. 91-94
Author(s):  
S R Ohayi
Keyword(s):  
Case Report ◽  
Small Proportion ◽  
Middle Age ◽  
Abdominal Mass ◽  
Cell Tumour ◽  
Histopathological Analysis ◽  
Rare Tumour ◽  
Histopathological Features ◽  
Not Otherwise Specified

Steroid cell tumour of the ovary is an extremely rare tumour. They are classified into three types with the commonest, the steroid cell tumour not otherwise specified (NOS) consisting approximately 60% of them. They occur mostly in middle age, are mostly benign and mostly cause virilising symptoms though a small proportion can present with oestrogenic effects. Diagnosis is based on presence of symptoms, presence of specific histopathological features with absence of certain histopathological features and positive specific immunostaining results. Here the author reports a case of a 42-year old woman with abdominal mass but without virilising symptoms but on whom a diagnosis of ovarian steroid cell tumour was reached by histopathological analysis which revealed presence of specific histopathological features with absence of certain histopathological features.

scholarly journals Oral and Dental Abnormalities Caused by a Pediatric Rhabdomyosarcoma Tumor Treatment: A Clinical Case Report

2020 ◽  
Vol 8 (2) ◽  
pp. 59
Author(s):  
Luísa Bandeira Lopes ◽  
Rodrigo Themudo ◽  
João Botelho ◽  
Vanessa Machado
Keyword(s):  
Radiation Therapy ◽  
Case Report ◽  
Side Effects ◽  
Clinical Case ◽  
Survival Rates ◽  
Soft Tissue Sarcomas ◽  
Tumor Treatment ◽  
Dental Abnormalities ◽  
Multiagent Chemotherapy

Rhabdomyosarcoma is one of the most common soft-tissue sarcomas in children. The therapy for this condition has evolved significantly over recent decades, as has survival rates. Nevertheless, multiagent chemotherapy, radiation therapy, surgical resection or a combination of these modalities still have to be performed. This case report presents a 16-year-old boy with oral and dental effects after rhabdomyosarcoma treatment, diagnosed at the age of 4 years old. This report highlights the key role of dentists in the clinical management of rhabdomyosarcoma cases before, during and after treatment, and its potential side effects.

The spectrum of generalised anxiety in clinical practice: the role of short-term, intermittent treatment∗

1998 ◽  
Vol 173 (S34) ◽  
pp. 49-54 ◽  
Author(s):  
K. Rickels ◽  
E. Schweizer
Keyword(s):  
Family Practice ◽  
Treatment Strategies ◽  
The Other ◽  
Intermittent Therapy ◽  
Generalised Anxiety Disorder ◽  
Intermittent Treatment ◽  
Short Term ◽  
Dsm Iv ◽  
Spectrum Disorders

Background DSM–IV generalised anxiety disorder (GAD) has a high lifetime prevalence, but subthreshold anxiety states are even more common, particularly in family practice.Method Generalised anxiety is conceptualised as a spectrum of disorders, with transient anxiety at one end and GAD at the other.Results Based on longterm experience with family practice patients, the authors suggest that most anxious patients, wherever on this continuum they are placed, could be treated with short-term, possibly intermittent, rather than chronic anxiolytic therapy. Data are presented which show that 50% of chronic GAD patients are only in need of such short-term intermittent therapy.Conclusions Further clinical research is needed to refine short-term, intermittent treatments for anxiety spectrum disorders, to make effective treatments available to those suffering from anxiety but falling short of diagnostic criteria for GAD, and to target more effectively the different treatment strategies.

scholarly journals Case report and literature review of auto-brewery syndrome: probably an underdiagnosed medical condition

2019 ◽  
Vol 6 (1) ◽  
pp. e000325 ◽  
Author(s):  
Fahad Malik ◽  
Prasanna Wickremesinghe ◽  
Jessie Saverimuttu
Keyword(s):  
Case Report ◽  
Competitive Inhibition ◽  
Medical Condition ◽  
Challenge Test ◽  
Fungal Growth ◽  
Single Strain ◽  
Alcohol Production ◽  
Appropriate Therapy ◽  
Lower Endoscopy

Auto-brewery syndrome (ABS), also known as gut fermentation syndrome, is a rarely diagnosed medical condition in which the ingestion of carbohydrates results in endogenous alcohol production. The patient in this case report had fungal yeast forms in the upper small bowel and cecum, which likely fermented carbohydrates to alcohol. Treatment with antifungal agents allowed subsequent ingestion of carbohydrates without symptoms. He had been exposed to a prolonged course of antibiotics before this occurred. We postulate that the antibiotic altered his gut microbiome, allowing fungal growth. This diagnosis should be considered in any patient with positive manifestations of alcohol toxicity who denies alcohol ingestion. The aim of this case report was confirmation and treatment of ABS using a standardised carbohydrate challenge test followed by upper and lower endoscopy to obtain intestinal secretions to detect fungal growth. These fungi were speciated and antifungal sensitivity performed. This allowed the use of appropriate therapy. The patient was kept on a carbohydrate-free diet during the initial 6-week period of therapy. A single-strain probiotic for competitive inhibition of fungal growth was given to the patient. This probiotic was later replaced by a multistrain bacterial probiotic hoping that the multiple bacteria would inhibit fungi better than a single-strain. The beneficial role of probiotics in this condition has not been studied. The patient was rechallenged for endogenous alcohol production prior to reintroducing carbohydrates in his diet.

scholarly journals Role of Histopathological Analysis in Diagnosing Steroid Cell Tumour: A Case Report

2019 ◽  
Vol 2 (1) ◽  
pp. 91-94
Author(s):  
S R Ohayi
Keyword(s):  
Case Report ◽  
Small Proportion ◽  
Middle Age ◽  
Abdominal Mass ◽  
Cell Tumour ◽  
Histopathological Analysis ◽  
Rare Tumour ◽  
Histopathological Features ◽  
Not Otherwise Specified

Steroid cell tumour of the ovary is an extremely rare tumour. They are classified into three types with the commonest, the steroid cell tumour not otherwise specified (NOS) consisting approximately 60% of them. They occur mostly in middle age, are mostly benign and mostly cause virilising symptoms though a small proportion can present with oestrogenic effects. Diagnosis is based on presence of symptoms, presence of specific histopathological features with absence of certain histopathological features and positive specific immunostaining results. Here the author reports a case of a 42-year old woman with abdominal mass but without virilising symptoms but on whom a diagnosis of ovarian steroid cell tumour was reached by histopathological analysis which revealed presence of specific histopathological features with absence of certain histopathological features.

D2-Hydroxyglutaric Aciduria Type II with Subdural Hemorrhage Identified in a 3-Month-Old Infant: A Case Report

2020 ◽  
Author(s):  
Jennie Green ◽  
Vinod Rao ◽  
Melissa Currie
Keyword(s):  
Case Report ◽  
Physical Abuse ◽  
Medical Literature ◽  
Medical Condition ◽  
Genetic Diagnosis ◽  
Subdural Hemorrhage ◽  
Type Ii ◽  
Subdural Hematomas ◽  
Underlying Medical Condition

AbstractSubdural hemorrhage in association with D2-hydroxyglutaric aciduria (D2-HGA) Type II has only been described once in the medical literature in a 15-month-old child (1). Our case report describes a much younger 3-month-old infant previously diagnosed with D2-HGA Type II, who presented clinically with seizures and identified to have bilateral subdural hematomas concerning for possible physical abuse. This case report discusses the genetic diagnosis of D2-HGA and interpretation of subdural hemorrhage in context of evaluating possible physical abuse concerns. When an underlying medical condition is known to be present and a child presents with findings that may be concerning for physical abuse, it is critical to consider the possibility that the underlying medical condition may contribute to or may be the cause of the findings.

Sign in / Sign up

Export Citation Format

Share Document