Citation

Hassanin A, Ramsamaroo Z, Barry M, Cassidy T. BMJ Case Rep. 2022; 15(4): e242457.

Copyright

(Copyright © 2022, BMJ Publishing Group)

DOI

10.1136/bcr-2021-242457

PMID

35379675

PMCID

PMC8981346

Abstract

Acute psychosis is an unusual presentation of stroke particularly in a patient with no history of psychiatric illness. We report a case where an elderly male patient with self-inflicted injuries caused by acute psychosis. The investigation confirmed an acute left hemispherical stroke associated with a high-grade left internal carotid artery stenosis. The patient underwent a successful left carotid endarterectomy. His psychotic symptoms resolved and he was discharged home without the need for neuroleptic medication.

Language: en

Keywords

Humans; Aged; Male; stroke; Psychotic Disorders; Stroke; vascular surgery; depressive disorder; Carotid Stenosis; Endarterectomy, Carotid; suicide (psychiatry)