Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation
Patients presenting with acute or chronic hepatopathy can develop altered mental status with psychomotor slowing, most commonly indicating encephalopathy. We present the case of a 56-year-old patient who developed subacute atypical neuropsychiatric symptoms including cognitive and behavioural disorg...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2018/4609631 |
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| _version_ | 1832545858511437824 |
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| author | Laury Chamelian Austin Pereira Kiran Grant Catherine Maurice |
| author_facet | Laury Chamelian Austin Pereira Kiran Grant Catherine Maurice |
| author_sort | Laury Chamelian |
| collection | DOAJ |
| description | Patients presenting with acute or chronic hepatopathy can develop altered mental status with psychomotor slowing, most commonly indicating encephalopathy. We present the case of a 56-year-old patient who developed subacute atypical neuropsychiatric symptoms including cognitive and behavioural disorganization, manic-like state, and lateralized parkinsonian syndrome. The sequence of events, complete work-up, and detailed neuropsychiatric examination were not compatible with hepatic encephalopathy or delirium; therefore we extended our differential diagnosis and suggested the pathophysiological process described below. |
| format | Article |
| id | doaj-art-706879e3d7484db4b3bc7a7dfc501238 |
| institution | Kabale University |
| issn | 2090-6943 2090-6951 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-706879e3d7484db4b3bc7a7dfc5012382025-02-03T07:24:29ZengWileyCase Reports in Transplantation2090-69432090-69512018-01-01201810.1155/2018/46096314609631Atypical Neuropsychiatric Presentation in a Patient Expecting Liver TransplantationLaury Chamelian0Austin Pereira1Kiran Grant2Catherine Maurice3Department of Psychiatry, Division of Neuro-Psychiatry, Centre Hospitalier de l’Université de Montréal, CanadaFaculty of Medicine, University of Toronto, CanadaFaculty of Medicine, University of Toronto, CanadaDepartment of Medicine, Division of Neurology, University Health Network, Pencer Brain Tumour Centre, Princess Margaret Hospital, CanadaPatients presenting with acute or chronic hepatopathy can develop altered mental status with psychomotor slowing, most commonly indicating encephalopathy. We present the case of a 56-year-old patient who developed subacute atypical neuropsychiatric symptoms including cognitive and behavioural disorganization, manic-like state, and lateralized parkinsonian syndrome. The sequence of events, complete work-up, and detailed neuropsychiatric examination were not compatible with hepatic encephalopathy or delirium; therefore we extended our differential diagnosis and suggested the pathophysiological process described below.http://dx.doi.org/10.1155/2018/4609631 |
| spellingShingle | Laury Chamelian Austin Pereira Kiran Grant Catherine Maurice Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation Case Reports in Transplantation |
| title | Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation |
| title_full | Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation |
| title_fullStr | Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation |
| title_full_unstemmed | Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation |
| title_short | Atypical Neuropsychiatric Presentation in a Patient Expecting Liver Transplantation |
| title_sort | atypical neuropsychiatric presentation in a patient expecting liver transplantation |
| url | http://dx.doi.org/10.1155/2018/4609631 |
| work_keys_str_mv | AT laurychamelian atypicalneuropsychiatricpresentationinapatientexpectinglivertransplantation AT austinpereira atypicalneuropsychiatricpresentationinapatientexpectinglivertransplantation AT kirangrant atypicalneuropsychiatricpresentationinapatientexpectinglivertransplantation AT catherinemaurice atypicalneuropsychiatricpresentationinapatientexpectinglivertransplantation |