A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female
Rahul Bansal, Prerna Maheshwari
Keywords :
Encephalomalacia, Gliosis, Psychosis
Citation Information :
Bansal R, Maheshwari P. A Case of First Episode Psychosis Uncovering Encephalomalacia in a Young Female. Ind J Priv Psychiatry 2024; 18 (1):33-34.
Aim and background: The diagnosis of organic psychosis is made when psychotic symptoms present after a specific neurological or organic event. One such dysfunction of brain structure is encephalomalacia, which refers to softening of brain tissue and can present with varying symptomatology. There is a dearth of cases reported showing quick recovery in patients with organic psychosis attributable to encephalomalacia.
Case description: A 25-year-old female presented with acute onset aggressiveness, insomnia, social withdrawal, paranoid ideation, hallucinatory behavior, reduced appetite, and poor self-care. Routine investigations were normal. The computed tomography (CT) scan brain plain revealed encephalomalacia in the left parietal lobe. Organic psychosis was kept as a provisional diagnosis. There was a satisfactory outcome on low-dose antipsychotic on follow-up day 14. She came for follow-up till 3 months and was maintaining well.
Conclusion: Encephalomalacia in left parietal lobe region can present with acute psychosis and relatively quick and satisfactory outcome can be seen.
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