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Full-Text Articles in Medicine and Health Sciences
“Capgras” Delusions Involving Belongings, Not People, And Evolving Visual Hallucinations Associated With Occipital Lobe Seizures, Brandon Lilly, Erika Maynard, Kelly Melvin, Suzanne Holroyd
“Capgras” Delusions Involving Belongings, Not People, And Evolving Visual Hallucinations Associated With Occipital Lobe Seizures, Brandon Lilly, Erika Maynard, Kelly Melvin, Suzanne Holroyd
Psychiatry
Capgras syndrome is characterized by the delusional belief that a familiar person has been replaced by a visually similar imposter or replica. Rarely, the delusional focus may be objects rather than people. Numerous etiologies have been described for Capgras to include seizures. Similarly, visual hallucinations, both simple and complex, can occur secondary to seizure activity.We present, to our knowledge, the first reported case of visual hallucinations and Capgras delusions for objects that developed secondary to new onset occipital lobe epilepsy.We then discuss the possible underlying neurologic mechanisms responsible for the symptomatology.
Severe Recurrent Hypothermia In An Elderly Patient With Refractory Mania Associated With Atypical Antipsychotic, Valproic Acid And Oxcarbazepine Therapy, Oluwadamilare O. Ajayi, Suzanne Holroyd
Severe Recurrent Hypothermia In An Elderly Patient With Refractory Mania Associated With Atypical Antipsychotic, Valproic Acid And Oxcarbazepine Therapy, Oluwadamilare O. Ajayi, Suzanne Holroyd
Psychiatry
Hypothermia is a rare but serious condition that has been associated with various psychiatric medications. We present a 76-year-old woman with refractory mania who developed multiple episodes of severe hypothermia associated with several psychiatric medications including olanzapine, quetiapine, valproic acid and oxcarbazepine. These episodes resolved following discontinuation of the agents. The patient had never experienced hypothermia before, despite having been on these or similar agents for many years. With traditional treatments for mania not feasible, other medications were used to treat her including lithium, clonazepam, gabapentin and the novel protein kinase c inhibitor tamoxifen. The regimen resulted in some success …
Self-Inflicted Injuries: Designation For Risk Assessment Or Cost Avoidance, Brianna M. Robertson, Ralph E. Mckinney Jr., Lawrence P. Shao
Self-Inflicted Injuries: Designation For Risk Assessment Or Cost Avoidance, Brianna M. Robertson, Ralph E. Mckinney Jr., Lawrence P. Shao
Psychiatry
This paper considers the denial of health insurance benefits based on a participant's high-risk behaviors such as self-inflicted injuries. In many instances, healthcare benefits can be denied if patients are injured while engaging in criminal activities, from a self-infliction, and from injuries relating to the consumption of alcohol. With increases in healthcare expenditures and government regulation, the necessity for benefit reductions is directed at individuals engaging in high-risk behaviors. The belief is that high-risk behaviors can be modified by individuals. Unfortunately, modification of behaviors may not be available to everyone.