Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
A young man became increasingly aggressive and irritable following an acute frontoparietal hemorrhage and craniectomy. Subsequently he developed sexual disinhibition 4 days post injury. There were no other psychotic, mood or neurotic symptoms and there were no features of delirium. There was no hist...
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Edizioni Minerva Medica
2021
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Online Access: | https://eprints.ums.edu.my/id/eprint/32599/1/Post-traumatic%20brain%20injury%20agitation%20and%20disinhibition%20after%20a%20motor%20vehicle%20accident_%20A%20difficult%20choice%20for%20patient%2C%20carer%20and%20primary%20team%20_ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/32599/ https://www.minervamedica.it/en/journals/minerva-psychiatry/article.php?cod=R17Y2021N01A0046 https://doi.org/10.23736/S2724-6612.20.02097-X |
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my.ums.eprints.325992022-05-18T07:10:38Z https://eprints.ums.edu.my/id/eprint/32599/ Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team Mohd Amiruddin Mohd Kassim Pang, Nicholas Tze Ping Ng, Jun N. RC435-571 Psychiatry A young man became increasingly aggressive and irritable following an acute frontoparietal hemorrhage and craniectomy. Subsequently he developed sexual disinhibition 4 days post injury. There were no other psychotic, mood or neurotic symptoms and there were no features of delirium. There was no history of substance intoxication or withdrawal preceding the accident. He was initially treated with atypical antipsychotics which helped alleviate the irritability and agitation. However due to the evolving sexual disinhibition, he was switched to mood stabilizers which brought his symptoms to remission. This case report illustrates the plethora of potential symptoms following traumatic brain injuries, which could be dynamic and distressing to caregivers and doctors. Serial imaging, mapping of lesion sites to potential symptoms and anatomic correlates and judicious use of symptom-appropriate medication was vital in order to manage such patients. Edizioni Minerva Medica 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32599/1/Post-traumatic%20brain%20injury%20agitation%20and%20disinhibition%20after%20a%20motor%20vehicle%20accident_%20A%20difficult%20choice%20for%20patient%2C%20carer%20and%20primary%20team%20_ABSTRACT.pdf Mohd Amiruddin Mohd Kassim and Pang, Nicholas Tze Ping and Ng, Jun N. (2021) Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team. Minerva Psychiatry, 62. pp. 46-50. ISSN 2724-6108 (P-ISSN) , 2724-6612 (E-ISSN) https://www.minervamedica.it/en/journals/minerva-psychiatry/article.php?cod=R17Y2021N01A0046 https://doi.org/10.23736/S2724-6612.20.02097-X |
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A young man became increasingly aggressive and irritable following an acute frontoparietal hemorrhage and craniectomy. Subsequently he developed sexual disinhibition 4 days post injury. There were no other psychotic, mood or neurotic symptoms and there were no features of delirium. There was no history of substance intoxication or withdrawal preceding the accident. He was initially treated with atypical antipsychotics which helped alleviate the irritability and agitation. However due to the evolving sexual disinhibition, he was switched to mood stabilizers which brought his symptoms to remission. This case report illustrates the plethora of potential symptoms following traumatic brain injuries, which could be dynamic and distressing to caregivers and doctors. Serial imaging, mapping of lesion sites to potential symptoms and anatomic correlates and judicious use of symptom-appropriate medication was vital in order to manage such patients. |
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Article |
author |
Mohd Amiruddin Mohd Kassim Pang, Nicholas Tze Ping Ng, Jun N. |
author_facet |
Mohd Amiruddin Mohd Kassim Pang, Nicholas Tze Ping Ng, Jun N. |
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Mohd Amiruddin Mohd Kassim |
title |
Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team |
title_short |
Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team |
title_full |
Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team |
title_fullStr |
Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team |
title_full_unstemmed |
Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team |
title_sort |
post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: a difficult choice for patient, carer and primary team |
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Edizioni Minerva Medica |
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2021 |
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https://eprints.ums.edu.my/id/eprint/32599/1/Post-traumatic%20brain%20injury%20agitation%20and%20disinhibition%20after%20a%20motor%20vehicle%20accident_%20A%20difficult%20choice%20for%20patient%2C%20carer%20and%20primary%20team%20_ABSTRACT.pdf https://eprints.ums.edu.my/id/eprint/32599/ https://www.minervamedica.it/en/journals/minerva-psychiatry/article.php?cod=R17Y2021N01A0046 https://doi.org/10.23736/S2724-6612.20.02097-X |
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1760231048250130432 |
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