| The following case vignettes are provided to give an indication of the types of cases assessed and treated in Neuropsychiatry. These are just a few examples and do not cover whole range of neuropsychiatric problems. For information about various neuropsychiatric conditions please click here. (please link this to http://www.neuropsychiatrist.co.uk/conditions.html ) |
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| Case 1 |
MC is a 23 years old Caucasian man who was previously diagnosed with obsessive compulsive disorder following his first admission in 2001. Later that year diagnosis was changed to Schizophrenia. He displayed catatonic (stereotypies, waxy flexibility etc) and hebephrenic features and proved to be treatment resistant. In the last month he became increasingly withdrawn, and was “freezing” during the conversations and tasks. This is when he was referred to neuropsychiatry for the first time. He showed worsening of catatonia. Following further assessment and investigations he showed evidence of EEG and MRI changes consistent with cerebral vasculitis requiring change in the treatment. This lead on to recovery. |
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| Case 2 |
AE is a 20-year-old girl who was referred by her Neurologist with a 3-year history of increasing pain, disability, and weakness. She had a recent onset of fits. Results of EEG and MRI were normal. She showed evidence of Functional Non-epileptic Seizures following the neuropsychiatry assessment. Further management in conjunction with Neurologist including joint consultations prevented the need for expensive telemetry and prolonged hospital stay. |
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| Case 3 |
MH is a 52-year-old IT professional who presented with a 3-year history of decline in his memory, organisational skills, judgement and functioning. Neurologists extensively investigated him with no definite diagnosis. He showed evidence of psychosocial problems and anxiety and depressive symptoms, which partially contributed, to his early onset dementia but despite adequate treatment of the psychological issues he showed only partial improvement. This confirmed a diagnosis of early onset frontal lobe dementia. |
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| Case 4 |
Mr WD is a 38-year-old nurse who developed Cerebral Sarcoidosis with discrete lesions in the cortex and subsequently presented with recurrent manic episodes. The manic episodes proved to be resistant to treatment, and were made worse by treatment for Sarcoidosis. His ongoing management involved regular communication with neurologist and constant titration of his neurological and Neuropsychiatric medications preventing unnecessary psychiatric or neurological admissions. |
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| Case 5 |
ST is a 42 year old man who sustained a head injury nine months ago. Since then he was noticed to a different person with apathy, irritability, agitation in addition to memory problems leading on to difficulties in relationship with his wife and rest of the family. With neuropsychiatric assessment and treatment he could recover from these problems. |
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| Case 6 |
JM is a 49 year old university lecturer who was about to lose his job as he was thought to be underperforming. He was thought to suffer from possible MS but had no obvious neurological problems. On neuropsychiatric review he was found to have executive dysfunction (impairment of functions of front part of brain) secondary to MS. He was able to take medical retirement and with treatment his problems were better in control.
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