Behavioral disturbances in porencephaly. Report of a case

IntroductionPorencephaly is a neurological condition that can develop before or after birth, characterized by cysts located in any place inside the brain parenchyma, which generally are covered by plain walls and encircled by an atrophic crust. It generates a very variable clinic appearance, with se...

Full description

Saved in:
Bibliographic Details
Published in:European psychiatry 2021-04, Vol.64 (S1), p.S735-S736
Main Authors: Rodriguez, L. Soldado, Barea, M. ValverDe, Solis, M.O.
Format: Article
Language:English
Subjects:
Abstract
confusional syndrome
E-Poster Viewing
emergency
Hyperactivity
Neuroscience
Porencephaly
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:IntroductionPorencephaly is a neurological condition that can develop before or after birth, characterized by cysts located in any place inside the brain parenchyma, which generally are covered by plain walls and encircled by an atrophic crust. It generates a very variable clinic appearance, with severe cases of high disability and slight cases with a light neurological involvement, which also can go unnoticed until adulthood. The prevalence is unknow and the inheritance is autosomal dominant Male patient of 45 years diagnosed with porencephaly with cerebral palsy that affects left half and cognitive disability. His father reports an emerging defiant behavior, mutism and decrease of appetite from a week ago. No triggering stress factors are reported.ObjectivesShow the importance of include in the differential diagnose hypoactive confusional syndrome.MethodsOn urgent medical visit, male comes with ataxic gates which wasn’t shown before. Inhibited attitude, semiflexed staring at floor, with sparing and monosyllabic speech answers, verbalizing discomfort and personal concern. Sleep-wake rhythm disruptions.ResultsBlood tests and drug screening shows no abnormalities Cranial CT: Without acute lesion Urinary infection observed.ConclusionsIt is important to make complementary test to exclude organic frames which could justify acute-subacute psychopathology. In this case, diagnosis was acute confusional syndrome, however, most known presentation is the hyperactive one which include motor hyperactivity, inappropriate behavior or disorganization and alterations of sensory perception. Hypoactive must always be considered, which is the concluding diagnosis in this case.DisclosureNo significant relationships.
ISSN:0924-9338
1778-3585
DOI:10.1192/j.eurpsy.2021.1948