Citation

Kar SK, Shrivastava A, Sahoo SK, Tripathi A. JIACAM 2019; 15(1): 110-120.

Copyright

(Copyright © 2019, Indian Association for Child and Adolescent Mental Health)

DOI

unavailable

PMID

unavailable

Abstract

Brain injuries can predispose as well as precipitate psychiatric disorders. The course of a preexisting psychiatric disorder may get altered due to brain injury. Alteration of the symptoms of the on-going psychiatric disorder due to brain injury may produce diagnostic dilemma. Presence of brain injury also limits the options of pharmacological treatments. Prolongation of the neuropsychiatric symptoms due to brain injury also produces significant morbidity compromising the quality of life. Treatment response and propensity to develop side effects to psychotropic medications also increase following brain injury. We describe here the case of an adolescent male, in whom brain injury altered the mood symptoms significantly. The challenges in management and the outcome are also discussed with review of literature. © 2019, Indian Association for Child and Adolescent Mental Health. All rights reserved.

Language: en

Keywords

adolescent; human; social interaction; male; incidence; case report; traumatic brain injury; bipolar disorder; physical activity; traffic accident; suicide attempt; mood disorder; personality disorder; differential diagnosis; clinical article; length of stay; impulsiveness; appetite disorder; nuclear magnetic resonance imaging; brain edema; tonic clonic seizure; psychosocial care; laceration; patient compliance; olanzapine; risperidone; lorazepam; irritability; computer assisted tomography; valproic acid; chlorpromazine; recurrence risk; apathy; withdrawal syndrome; Brain injury; Glasgow coma scale; brain atrophy; brain hematoma; conservative treatment; Mood disorder; gesture; spironolactone; glycerol; Article; unconsciousness; drug dose increase; financial deficit; trihexyphenidyl; contusion; psychomotor activity; drug dose escalation; sleep pattern; limb weakness; clinical outcome; lateral orbitofrontal cortex; Neuropsychiatric manifestations