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RISS 인기검색어
- 검색키워드
- 저자 : Nor Akma Yunus (검색결과 2 건)
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A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct
Salziyan Badrin,Noraini Mohamad,Nor Akma Yunus,Maryam Mohd Zulkifli 대한가정의학회 2017 Korean Journal of Family Medicine Vol.38 No.6
Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previouslyin literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patientsand patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as thebasal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommonand not well documented in the literature. Neurological deficits are the most common presentation instroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depressionand anxiety, related to physical disability. The present case report describes an elderly female patient who presentedwith hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction,without other significant neurological deficits.
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Hemiballismus in Uncontrolled Diabetes Mellitus
Juhaida Jaafar,Razlina Abdul Rahman,Nani Draman,Nor Akma Yunus 대한가정의학회 2018 Korean Journal of Family Medicine Vol.39 No.3
Hemiballismus, a subtype of chorea, is a rare movement disorder, and is most commonly found secondary to stroke. Movements are involuntary, violent, coarse, and have a wide amplitude. There is increasing report of hemi-ballismus occurring in non-ketotic hyperglycemia. Spontaneous improvements or remissions were observed in many patients, and treatment should be directed towards the cause of hemiballismus. There is no randomized control trial to guide clinicians in deciding the best treatment option when managing hemiballismus. Symptomatic treatment includes the use of drugs such as dopamine receptor blocker and tetrabenazine. Surgical treatment is re-served for severe, persistent, and disabling hemiballismus. This case is of an elderly woman with long standing un-controlled diabetes who presented with abnormal movement in her left upper limb for 2 months, which resolved slowly with good control of her glucose levels. Treating physicians need to have a high index of suspicion to prevent mismanagement of the condition.
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