Underlying cerebrovascular pathology causing secondary psychosis

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dc.contributor.authorForrest, Clara
dc.date.accessioned2024-10-11T14:31:13Z
dc.date.available2024-10-11T14:31:13Z
dc.date.issued2021
dc.description.abstractCase Background: Psychosis can be classified as primary if it is caused by a psychiatric disorder or secondary if it is due to a specific medical condition. Despite there being multiple identified causes of secondary psychosis, making such a diagnosis can prove challenging. Case Details: This case report presents a 57-year-old male who was brought by ambulance to the emergency department following an intentional jump from a first story window due to visual and auditory hallucinations and persecutory paranoid delusions. MRI findings on admission were consistent with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL). The patient’s background included an ischaemic stroke with haemorrhagic transformation five years previously. He experienced psychotic symptoms during the immediate recovery period. Prior to this he had no psychiatric history. Discussion: Post-stroke psychosis and the condition of CADASIL are both entities that are relatively rarely described in the literature. However, this may be due to missed diagnosis and therefore not reflective of true prevalence. Conclusion: Identifying a cause-effect relationship and establishing a diagnosis of secondary psychosis can be confounded by many factors. Nevertheless, this patient’s case demonstrates the importance of considering an underlying cause, particularly when the presentation is atypical and there is a temporal relationship between the proposed medical condition and the symptoms of psychosis. Patient Consent Obtained: Yesen
dc.description.statusPeer-revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationForrest, C. (2021) 'Underlying cerebrovascular pathology causing secondary psychosis', UCC Student Medical Journal, Vol. 2, pp. 67-72. https://doi.org/10.33178/SMJ.2021.1.6en
dc.identifier.doihttps://doi.org/10.33178/SMJ.2021.1.6
dc.identifier.endpage72
dc.identifier.issn2737-7237
dc.identifier.journalabbrevUCC SMJ
dc.identifier.journaltitleUCC Student Medical Journalen
dc.identifier.startpage67
dc.identifier.urihttps://hdl.handle.net/10468/16558
dc.identifier.urihttps://journals.ucc.ie/index.php/smj/article/view/4318
dc.language.isoenen
dc.publisherUCC Medical Research and Technology Societyen
dc.relation.urihttps://journals.ucc.ie/index.php/smj/article/view/4318/6478
dc.rights© 2021, the Author(s). This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0
dc.sourceBatch uploaden
dc.subjectCerebrovascularen
dc.subjectSecondary psychosisen
dc.titleUnderlying cerebrovascular pathology causing secondary psychosisen
dc.typePeer-reviewed Articleen
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UCC Student Medical Journal Vol. 2 (2021)