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PCC Weekly
June 10, 2021
Tolosa-Hunt Syndrome With Anisocoria as the Sole Presenting Ophthalmic Sign
A patient presents with blurry vision for the past 6 months, decreased near vision in the left eye, and unilateral headaches. What should be in the list of differential diagnoses to ensure adequate management? Read this case report to find out more.
The Negative Impact of Maternal Perinatal Opioid Use on Neonatal Outcomes
This study compared outcomes among newborns of opioid-using and nonopioid drug–using mothers with those of control mothers who did not report substance use. Read on to find out more.
A Rapidly Reversed Case of Symptoms Consistent With Neuroleptic Malignant Syndrome
When there is suspicion for neuroleptic malignant syndrome, prompt medical therapy and discontinuation of the offending agent are crucial. This report presents an atypical case of this potentially fatal adverse drug reaction.
June 3, 2021
Psychiatric Decompensation During the COVID-19 Pandemic: A Literature Review and Case Series
Here, read 5 case reports of patients with preexisting psychotic disorders seen on the inpatient psychiatry unit of an inner-city community hospital who decompensated for various reasons relating to the COVID-19 pandemic.
Hemorrhoids in Obsessive-Compulsive Disorder
OCD, when it becomes chronic, rarely can manifest with secondary physical conditions. Here, the authors report the case of a young man who developed hemorrhoids and life-threatening anal bleeding as a result of OCD.
A Case of Nonmalignant Delirious Mania Successfully Treated With Lorazepam and Carbamazepine: A Proposed Diagnostic and Treatment Algorithm
Delirious mania is a potentially life-threatening but underrecognized neuropsychiatric syndrome. Here, read about a patient whose symptoms were consistent with nonmalignant delirious mania and were successfully treated with lorazepam and carbamazepine.
Comorbid Psychiatric Aspects of Bainbridge-Ropers Syndrome
Bainbridge-Ropers syndrome is a neurodevelopmental genetic disorder associated with mutations in the additional sex combs–like ASXL3 gene on chromosome 18q12.1. This study describes the comorbid psychiatric aspects of this disorder.
May 27, 2021
Hypertensive Intracerebral Hemorrhage in Young Patients From a Tertiary Care Center in Saudi Arabia: An Observational Study
Do younger adult patients with hypertensive intracerebral hemorrhage have higher prevalence of comorbidities such as diabetes and worse clinical outcomes in comparison to older patients with this condition? Read on to find out more.
Transcranial Magnetic Stimulation for Adolescents With ADHD
In this brief report, the authors discuss the use of transcranial magnetic stimulation in adolescents with ADHD.
Impact of COVID-19 on a Patient With Depression and Suicidal Ideation
A wide range of psychological outcomes have been observed during the COVID-19 outbreak. Patients often experience the fear of getting sick or dying and feel helpless or stereotyped by others. Read this case report to find out more.
May 20, 2021
Electroconvulsive Therapy as a Treatment for Somatization Disorder
Is ECT an effective treatment option for severe and refractory manifestations of somatization disorder? In this review, the authors investigate the efficacy, safety, and tolerability of ECT in somatization disorder.
Intramuscular B52
In this brief report, the authors discuss evidence for intramuscular use of haloperidol with lorazepam and diphenhydramine, also known as intramuscular B52, in aggressive patients.
Profile of Patients Attending a General Hospital Psychiatric Clinic During Lockdown in India: A Retrospective Study
This study explored the sociodemographic and clinical details of patients of an outpatient psychiatric clinic to shed light on the impact of the COVID-19 pandemic and the needs of psychiatric patients during lockdown in South India.
May 13, 2021
A Pragmatic Therapeutic Approach to Address the Attrition of Adolescents and Young Adults With Borderline Personality Disorder in Dialectical Behavior Therapy Programs
The author of this report describes a pragmatic therapeutic approach that can be administered to an adolescent receiving dialectical behavior therapy, who may perceive certain steps in therapy as burdensome and subsequently drop out of treatment.
Ketamine-Induced Manic Episode
Ketamine has emerged as a promising treatment for patients with bipolar depression, particularly those with acute suicidality, Here, the authors report a case of a patient who received ketamine infusions, resulting in induction of a manic episode.
Coprophagia as an Unusual Presentation of Catatonia
Here, read about a patient who presented with repetitive odd behavior, eating of feces, and thought perseveration that did not respond to adequate doses of 3 antipsychotics but responded to the addition of lorazepam when catatonia was considered.
Got 2 Good Eyes But You Still Can’t See: An Atypical Case of Wernicke’s Encephalopathy
Here, read about a case of atypical Wernicke’s encephalopathy in a woman with avoidant/restrictive food intake disorder presenting with bilateral ophthalmoplegia and normal serum thiamine levels.
May 6, 2021
Electroconvulsive Therapy as a Treatment for Tardive Dyskinesia
ECT may be a successful treatment for some cases of tardive dyskinesia. In this review, the authors accumulate all the recent evidence for the efficacy of ECT in treating tardive dyskinesia and make recommendations following data analysis.
Major Depressive Disorder With Seasonal Pattern or Seasonal Affective Disorder: Diagnostic Issues With Good Response to Agomelatine
Here, read about the case of a patient who met some criteria for depression with seasonal pattern and seasonal affective disorder, but not all, posing a diagnostic dilemma. Could agomelatine be a possible treatment option?
Psychiatry in Iraq: Challenges and Consequences
In this commentary, the authors discuss the challenges in Iraq with regard to mental health care, especially in the context of COVID-19.
April 29, 2021
Pandemics and Social Cohesion: 1918–1920 Influenza Pandemic and the Reduction in US Suicide Rates
Could increased social cohesion through shared experience mitigate the impact of pandemics on suicide rates? Here, the authors explore the impact of the 1918–1920 influenza pandemic on suicide rates and discuss their findings in the context of COVID-19.
Rapid and Sustained Resolution of Misophonia-Type Hyperacusis With the Selective Serotonin Reuptake Inhibitor Sertraline
This report describes a case of misophonia-type hyperacusis that resolved after the administration of the SSRI sertraline.
First Reactions and Attitudes of Psychiatric Workers in Budapest Psychiatric Care Units Regarding the COVID-19 Pandemic
This study focused on the first feelings, attitudes, and planned reactions of psychiatric workers in Hungary to the news of COVID-19 and examined differences between psychiatrists/psychologists and nurses/other professionals regarding these attitudes.
Suicidal Vilazodone Overdose Presenting as Serotonin Syndrome in a Young Woman With Major Depressive Disorder
Vilazodone is a novel dual-acting selective serotonin reuptake inhibitor approved for treatment of adult depressive disorders. Here, read about a case of serotonin syndrome in a young woman with suicidal vilazodone overdose with no coingestion.
April 22, 2021
Untangling the Complex Interactions of Open Burn Pit Exposure and Health Outcomes: Response to Brumage et al
In this letter to the editor, the authors respond to Brumage et al.
Response to Burn Pit Exposures and COVID-19
In this letter to the editor, the authors comment on a report published recently in the PCC
Leucovorin as an Antidepressant Adjunct in Elderly Inpatients With Treatment-resistant Depression
The authors of this study assessed the impact of folinic acid supplementation in geriatric inpatients by studying days of clinically needed hospitalization. Read on to find out more about this important topic.
Episodic Ataxia Misdiagnosed as Anxiety Disorder
Episodic ataxia is an autosomal dominant disorder characterized by episodes of ataxia that last hours. Comorbid and psychiatric disorders of atypical presentation have been described in these patients, which may delay diagnosis. Read on to find out more.
Generalized Dissociative Amnesia Versus Transient Global Amnesia
Dissociative amnesia is characterized by autobiographical memory loss. Read this case of a woman who was found wandering the streets with no identification. She had autobiographical memory loss and loss of memory for global events.
Chronic Traumatic Encephalopathy: Football vs Soccer
Sport-related concussion is recognized as a public health issue. The authors of this report discuss the increase in repetitive closed head traumas among soccer and football players.
April 15, 2021
Sugar Addictive Behavior Resulting From Hypoglycemia Provoked by Insulin Misuse
Here, the authors present a case of a patient with alcohol use disorder who developed an addictive-like consumption of sugary food associated with misuse of his insulin.
Catatonia as Presenting Manifestation of Behavioral Frontotemporal Dementia: Insight From a PET/MRI Study
In this report, the authors discuss a case of behavioral frontotemporal dementia presenting with catatonia and describe brain functional modifications after drug treatment investigated with PET/MRI.
Delayed Ejaculation in a Man and Premature Orgasm in a Woman: 2 Cases With a Common Suspect
In this case series, the authors describe a case of delayed ejaculation and a case of premature orgasm and provide an overview of the literature on this topic.
A Unique Case of Dehydration-Related Psychosis: Witnessing a Mirage in the City
Can dehydration lead to psychosis? Read this unique case of brief psychotic episode related to a medical condition, for which dehydration seemed to be the most likely etiology.
April 8, 2021
