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Case Report
Abdominal Epilepsy: A Rare Entity Revealed by a Depressive Syndrome
Saadia Karroumi*
,
Zainab Ennaciri,
Imane Adali,
Fatiha Manoudi
Issue:
Volume 12, Issue 2, June 2024
Pages:
28-31
Received:
9 May 2024
Accepted:
27 May 2024
Published:
6 June 2024
Abstract: Introduction: Abdominal epilepsy is a rare neurological condition characterized by episodic abdominal pain, often accompanied by epileptic or gastrointestinal symptoms. It remains underdiagnosed due to its atypical presentation and the lack of awareness among healthcare professionals. Case report: The subject of this report is a 23-year-old male with a protracted history of episodic, severe abdominal pain. The pain episodes, characterized by their severity and abrupt onset, were frequently accompanied by vertigo and debilitating headaches, which significantly impacted his quality of life. Despite numerous consultations with various specialists, a definitive diagnosis remained elusive for many years. Discussion: A comprehensive literature review is conducted to gather data on the historical evolution, recent advancements, and management recommendations for abdominal epilepsy. Medical databases are consulted to identify relevant studies, clinical cases, and recent reviews in this field. The discussion explores the clinical implications of the results, emphasizing the importance of a multidisciplinary approach in diagnosing and managing abdominal epilepsy. Conclusion: Diagnostic challenges, therapeutic options, and future perspectives are discussed in detail, highlighting the need for increased awareness of this condition and further research to improve outcomes for patients. Early diagnosis and appropriate management can significantly enhance patient quality of life, underscoring the importance of education and research in this domain.
Abstract: Introduction: Abdominal epilepsy is a rare neurological condition characterized by episodic abdominal pain, often accompanied by epileptic or gastrointestinal symptoms. It remains underdiagnosed due to its atypical presentation and the lack of awareness among healthcare professionals. Case report: The subject of this report is a 23-year-old male wi...
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Research Article
Epidemiological, Clinical and Radiological Profiles of Post-stroke Aphasia in Neurology in Abidjan from April to September 2022
Beuseize Affoué Marie Roxane*,
Kouassi Kouamé Léonard,
Abbé Ange Stéphane,
Yeo Nawa Samuel,
Essoin-De Souza Nancy Tanya,
Broh N’Guessan Yves,
Offoumou Fiacre Delors,
Diakité Imaila,
Doumbia-Ouattara Mariam
Issue:
Volume 12, Issue 2, June 2024
Pages:
32-38
Received:
19 May 2024
Accepted:
4 June 2024
Published:
14 June 2024
Abstract: Background and purpose: Aphasia is a language disorder that frequently occurs after a cerebrovascular accident. This prospective descriptive study aimed to describe the epidemiological, clinical and radiological profiles of post-stroke aphasia. Materials and method: Patients presenting aphasia after a stroke documented by brain imaging, hospitalized from April to September 2022 in the neurology departments of the Cocody and Treichville University Hospitals were included. Aphasia was screened using the Language Screening Test (LAST). Epidemiological, clinical and radiological data were collected through clinical observation. Results: Of the 217 stroke patients admitted to neurology during the period, 32 presented aphasia (14.7%). The average age was 56 years, with a male predominance (M/F sex ratio of 2.2). The majority of patients had primary or no schooling (87.5%). Arterial hypertension was the most frequent cardiovascular risk factor (50%) and hemiplegia, the most common physical sign (93.8%). The average LAST score for aphasic patients was 5.3 out of 15. We observed that naming and repetition were the most affected components of speaking, with scores below normal in 87.5%. and 88% of cases. Regarding oral comprehension, order execution was the component most affected for 75.1% of patients. In the acute phase of stroke, 50% of cases of aphasia were severe. Radiologically, 75% of patients presented an ischemic stroke with the predilection of the middle cerebral artery. Conclusion: this study highlights the importance of early detection of aphasia in post-stroke patients and rapid treatment to optimize their linguistic recovery.
Abstract: Background and purpose: Aphasia is a language disorder that frequently occurs after a cerebrovascular accident. This prospective descriptive study aimed to describe the epidemiological, clinical and radiological profiles of post-stroke aphasia. Materials and method: Patients presenting aphasia after a stroke documented by brain imaging, hospitalize...
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Review Article
Capgras Syndrome with Non-Violent Behaviour Presenting in Postpartum Period: Case Study with Literature Review
Nabil Ahmed Numan*
Issue:
Volume 12, Issue 2, June 2024
Pages:
39-45
Received:
16 May 2024
Accepted:
11 June 2024
Published:
29 June 2024
Abstract: Background: Capgras syndrome (CS) is one of the delusional misidentification syndromes (DMS) characterized by the belief by the patient that the close person, usually a close relative or family member is replaced by an imposter who looks physically the same. Since the first case of Capgras syndrome was described in 1923, the published literature is confined to a small number of case reports and a single case series. Capgras syndrome rarely occurs in postpartum period; there are few references in the literature to any of the delusions of misidentification occurring in a post partum period. Moreover, some authors described Capgras syndrome as frequently involving hostility, violence and risk of neglect towards an object of delusional misidentification. Their reports based on single cases report or small case series that may be subject to significant reporting bias. This case outlined here on a female patient affected by Capgras syndrome in post partum period with brief review of the literature. Case presentation: A 32-year-old woman presented to the psychiatric clinic for a delusional belief that newborn had been replaced by another one. Capgras delusion was developed after caesarean section on her 12th postpartum day. The patient was healthy individual whose Capgras syndrome was not linked to any psychiatric or neurological states in the past. Anxiety and depressive symptoms followed progressively without postpartum psychosis. Though she has a fixed belief, which is that her baby was replaced by another one, she did not show any psychotic features or aggression behaviour. Conclusion: In this case report, Capgras syndrome is typically a monothematic delusion (delusion about the baby may have an altered identity or replaced by another one) and is not accompanied by other delusions. Also, it displays the course of anxiety and depression in the period of postpartum period that accompanied with Capgras syndrome. The patient has no postpartum psychosis, only a delusion about the baby replaced by another one. Though her ambivalent emotions toward the baby, the patient did not show any hostility, aggression behaviour or violence and denied thoughts of harming baby.
Abstract: Background: Capgras syndrome (CS) is one of the delusional misidentification syndromes (DMS) characterized by the belief by the patient that the close person, usually a close relative or family member is replaced by an imposter who looks physically the same. Since the first case of Capgras syndrome was described in 1923, the published literature is...
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Case Report
Neurobehavioral Changes Resulting from Recurrent Head Injuries
Issue:
Volume 12, Issue 2, June 2024
Pages:
46-51
Received:
23 May 2024
Accepted:
19 June 2024
Published:
29 June 2024
Abstract: In recent years, there has been a significant focus on the potential link between traumatic brain injury (TBI) due to recurrent head injuries (RHI) and the development of Traumatic Encephalopathy Syndrome (TES), whichcould lead to chronic traumatic encephalopathy (CTE). Recurrent head injuries may cause neurobehavioral changes, significantly impacting an individual's cognitive and behavioral functioning. These changes can lead to various challenges, including difficulties in social interactions, work performance, and overall quality of life. CTE is a progressive disease characterized by Axonal injury tau neurofibrillary tangles (NFTs) and, in some cases, transactive response DNA binding protein 43 (TDP43). This case report discusses a patient who experienced auditory verbal hallucinations (AVH) and cognitive symptoms with behavioral issues due to recurrent RHI. The aim is to investigate this presentation further to examine the relationship between recurrent head injury (RHI) and chronic traumatic encephalopathy (CTE) and to understand the psychological impact of physical brain trauma. A 43-year-old white male with a history of RHI from multiple sports-related concussions was admitted to the psychiatric unit for cognitive difficulties with auditory verbal hallucinations and associated mood symptoms for the past four years, impacting both his sleep and productivity at work. This article will discuss the different types of auditory hallucinations seen in patients with RHI and CTE, along with exploring the evidence to support our determination due to repeated RHI, which led to symptomatology suggestive of CTE. Differential diagnoses will be considered, and evidence is provided to rule them out based on the patient's history. This case report underscores the diagnostic challenges associated with CTE, which can manifest with a spectrum of psychiatric symptoms encompassing mood, cognition, and behavior. The medical diagnosis of Chronic Traumatic Encephalopathy (CTE) in living patients is still a challenge, as effective biomarkers for this condition have yet to be discovered. Although research diagnostic criteria have been proposed, there is no definitive way to diagnose CTE in living patients. Therefore, further investigation is necessary to develop accurate diagnostic tools and effective treatments for CTE.
Abstract: In recent years, there has been a significant focus on the potential link between traumatic brain injury (TBI) due to recurrent head injuries (RHI) and the development of Traumatic Encephalopathy Syndrome (TES), whichcould lead to chronic traumatic encephalopathy (CTE). Recurrent head injuries may cause neurobehavioral changes, significantly impact...
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