Citation

Vališ M, Masopust J, Hosak L, Urban A. Activitas Nervosa Superior Rediviva 2011; 53(2): 59-63.

Copyright

(Copyright © 2011)

DOI

unavailable

PMID

unavailable

Abstract

In the present case history, we describe a male patient who experienced his first mental changes at the age of 57. Dominant among these were symptoms of paranoia and persecution, and auditory and olfactory hallucinations. The presence of blunt euphoria, reduced ability to understand social situations and contexts, personality changes, cognitive disorders (particularly of executive functions) and attention disorders corresponded best to prefrontal cortex damage. CT scan of the brain revealed a picture of normotensive communicating hydrocephalus. Quetiapin 200 mg daily was introduced for psychotic disorders. Delusional experiences gradually went away and no hallucinations were observed. The patient received a ventriculoperitoneal shunt implant with a programmable valve set at the pressure of 130 mm H2O. This case provides proof of the necessity of somatic and neurological examination and brain imaging in patients with newly developed mental disorders. © 2011 Act Nerv Super Rediviva.

Language: en

Keywords

adult; human; male; case report; prefrontal cortex; suicide attempt; strangulation; neuroimaging; article; mental disease; personality disorder; cognitive defect; quetiapine; paranoia; computer assisted tomography; visuomotor coordination; electroencephalography; verbal behavior; euphoria; Paranoid psychosis; auditory hallucination; Cognitive dysfunction; brain damage; attention disturbance; persecutory delusion; brain ventricle peritoneum shunt; Mental changes; normotensive hydrocephalus; Normotensive hydrocephalus; olfactory hallucination; Ventriculoperitoneal shunt