By Josef Priller, Hugh Rickards
This e-book contains succinct, obtainable scientific situations in neuropsychiatry. every one scientific case has a selected and functional studying element, all for evaluation, prognosis, therapy or common method. every one case types scientific reasoning and indicates how the 'puzzle' within the case replaced the longer term perform of the author.
Neuropsychiatry Case Studies is split into sections in terms of particular components of neuropsychiatry, together with dementias, circulate issues, autoimmune encephalopathies and epilepsy, among others. This ebook is aimed toward trainee medical professionals in neurology and psychiatry and also will be of curiosity to totally knowledgeable medical professionals, nurses, psychologists and different allied health and wellbeing execs operating during this area.
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Extra info for Neuropsychiatry Case Studies
Brain: J Neurol. 2012;135(Pt 3): 765–83. Mahoney CJ, Beck J, Rohrer JD, Lashley T, Mok K, Shakespeare T, et al. Frontotemporal dementia with the C9ORF72 hexanucleotide repeat expansion: clinical, neuroanatomical and neuropathological features. Brain: J Neurol. 2012;135(Pt 3):736–50. Irish M, Devenney E, Wong S, Dobson-Stone C, Kwok JB, Piguet O, et al. Neural substrates of episodic memory dysfunction in behavioural variant frontotemporal dementia with and without C9ORF72 expansions. Neuroimage Clin.
There is no doubt that he had cognitive deficits on testing, but there were a number of other possible etiologies for this including the effects of his prior head and neck injury and long-standing opiate usage. There are a subgroup of men who have symptoms of FTD but show no brain atrophy and no progression over many years known as “phenocopy” cases. The etiology in these cases is uncertain, but a proportion has long-standing personality disorders which decompensate in midlife. In keeping with a diagnosis of “phenocopy syndrome,” this case lacked definite abnormalities on MRI and PET .
Background From reviewing his notes, it was clear that he had no previous psychiatric history until a year earlier. He had worked as a librarian and had been sacked some months previously after unusual behavior at work. The behavior included photocopying large NASA reports, damaging a photocopier when paper jammed, taking extra breaks at work, and hiding in the office. His general practitioner referred him to mental health services with a history of anxiety and depression after he had lost his job.