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Type of publication: Tezės kituose recenzuojamuose leidiniuose / Theses in other peer-reviewed publications (T1e)
Field of Science: Psichologija / Psychology (S006)
Author(s): Šinkariova, Liuda
Title: Psychiatry or neurology: a case study
Is part of: Medicina : 9th international conference of Lithuanian Neuroscience Association „Neurodiversity: from theory to clinics“, 1 December 2017 : abstracts / editor Edgaras Stankevičius. Wrocław : Elsevier, 2017, vol. 53, suppl. 2
Extent: p. 108-108
Date: 2017
Note: eISSN 1648-9144
Keywords: Neurology;Epileptic;Panic disorder
Abstract: Background and Aim: A 40-year old patient was experiencing severe anxiety for 6 months. She was not able to relax and did not see the meaning to live or exist. A case study reveals an obsessive-compulsive disorder with mixed anxiety disorder complicated by epileptic seizures. The aim of this study is to present a complex case in order to understand if the epileptic fireplace has caused obsessive-compulsive and anxiety symptoms, or is it a comorbidity of these diseases. Materials and Methods: Psychiatric history was collected, medication treatment was prescribed, computed tomography (CT) scan was performed, electroencephalogram (EEG) was recorded. Results: Patient was diagnosed with obsessive - compulsive disorder, with mixed anxiety disorder. Medication treatment: Mirtazapine 30 mg; Escitalopram 10 mg; Alprazolam 0.5 mg. Medication treatment lasted 4 months. Patient’s condition stabilized. After a while patient started doing much worse and started to have panic attacks. Patient was diagnosed with panic attacks and was admitted to a hospital psychiatric unit. CT scan showed no pathology. EEG showed an intense tendency to synchronized parosomic activity, exacted on the left temporal derivatives of the “sharp” wave group with reflection in frontal leads on both sides. Patient was diagnosed with panic disorder and was recommended to observe the dynamics due to changes of EEG. Medication intervention in hospital was continued. Patient’s state improved. Medication doses were reduced. After one month of treatment patient arrived feeling better, however, psychiatrist suspected maniac state. For that reason the medications were reduced. Patient’s condition stabilized. Minimal doses were prescribed. Patient was recommended to psychoanalyst. She attended three times (once a week) and disappeared. From that time on she did not answer psychiatrist or therapist phone calls.[...]
Affiliation(s): Vytauto Didžiojo universitetas
Appears in Collections:Universiteto mokslo publikacijos / University Research Publications

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