A 50 year old with a rapid neuropsychiatric deterioration and choreaform movements

Mackay, G. A., Campbell, S., Jampana, R. and Cavanagh, J. (2017) A 50 year old with a rapid neuropsychiatric deterioration and choreaform movements. Practical Neurology, (doi: 10.1136/practneurol-2016-001481) (PMID:28119377) (PMCID:PMC5520242)

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Abstract

A 50-year-old man presented acutely to the hospital with behavioural disturbance, choreiform movements and profound nihilistic delusions. He reported recent drug and alcohol abuse, and also apparent involvement in several recent criminal activities, for which he felt he should be punished. He arrived alone at the hospital after a concerned neighbour had called an ambulance. His initial level of agitation prevented formal cognitive testing. However, he was alert, verbally responsive and could obey commands. He was afebrile with normal observations and normal plasma glucose. Although his examination was challenging, the only abnormal neurological findings were bilateral choreiform upper limb movements.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Jampana, Dr Ravi and Campbell, Dr Stewart and Cavanagh, Professor Jonathan and Mackay, Dr Graham
Authors: Mackay, G. A., Campbell, S., Jampana, R., and Cavanagh, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Practical Neurology
Publisher:BMJ Publishing Group
ISSN:1474-7758
ISSN (Online):1474-7766
Published Online:24 January 2017
Copyright Holders:Copyright © 2016 The Authors
First Published:First published in Practical Neurology, 2016
Publisher Policy:Reproduced under a creative commons license

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
657471Consortium of Neuroimmunology of Mood Disorders and Alzheimer's DiseaseJonathan CavanaghWellcome Trust (WELLCOME)104025/Z/14/ZIHW - MENTAL HEALTH & WELLBEING