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Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team

A young man became increasingly aggressive and irritable following an acute frontoparietal hemorrhage and craniectomy. Subsequently he developed sexual disinhibition 4 days post injury. There were no other psychotic, mood or neurotic symptoms and there were no features of delirium. There was no hist...

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Main Authors: Mohd Amiruddin Mohd Kassim, Pang, Nicholas Tze Ping, Ng, Jun N.
Format: Article
Language:English
Published: Edizioni Minerva Medica 2021
Subjects:
RC435-571 Psychiatry
Online Access:https://eprints.ums.edu.my/id/eprint/32599/1/Post-traumatic%20brain%20injury%20agitation%20and%20disinhibition%20after%20a%20motor%20vehicle%20accident_%20A%20difficult%20choice%20for%20patient%2C%20carer%20and%20primary%20team%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/32599/
https://www.minervamedica.it/en/journals/minerva-psychiatry/article.php?cod=R17Y2021N01A0046
https://doi.org/10.23736/S2724-6612.20.02097-X
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spelling my.ums.eprints.325992022-05-18T07:10:38Z https://eprints.ums.edu.my/id/eprint/32599/ Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team Mohd Amiruddin Mohd Kassim Pang, Nicholas Tze Ping Ng, Jun N. RC435-571 Psychiatry A young man became increasingly aggressive and irritable following an acute frontoparietal hemorrhage and craniectomy. Subsequently he developed sexual disinhibition 4 days post injury. There were no other psychotic, mood or neurotic symptoms and there were no features of delirium. There was no history of substance intoxication or withdrawal preceding the accident. He was initially treated with atypical antipsychotics which helped alleviate the irritability and agitation. However due to the evolving sexual disinhibition, he was switched to mood stabilizers which brought his symptoms to remission. This case report illustrates the plethora of potential symptoms following traumatic brain injuries, which could be dynamic and distressing to caregivers and doctors. Serial imaging, mapping of lesion sites to potential symptoms and anatomic correlates and judicious use of symptom-appropriate medication was vital in order to manage such patients. Edizioni Minerva Medica 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32599/1/Post-traumatic%20brain%20injury%20agitation%20and%20disinhibition%20after%20a%20motor%20vehicle%20accident_%20A%20difficult%20choice%20for%20patient%2C%20carer%20and%20primary%20team%20_ABSTRACT.pdf Mohd Amiruddin Mohd Kassim and Pang, Nicholas Tze Ping and Ng, Jun N. (2021) Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team. Minerva Psychiatry, 62. pp. 46-50. ISSN 2724-6108 (P-ISSN) , 2724-6612 (E-ISSN) https://www.minervamedica.it/en/journals/minerva-psychiatry/article.php?cod=R17Y2021N01A0046 https://doi.org/10.23736/S2724-6612.20.02097-X
institution Universiti Malaysia Sabah
building UMS Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sabah
content_source UMS Institutional Repository
url_provider http://eprints.ums.edu.my/
language English
topic RC435-571 Psychiatry
spellingShingle RC435-571 Psychiatry
Mohd Amiruddin Mohd Kassim
Pang, Nicholas Tze Ping
Ng, Jun N.
Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
description A young man became increasingly aggressive and irritable following an acute frontoparietal hemorrhage and craniectomy. Subsequently he developed sexual disinhibition 4 days post injury. There were no other psychotic, mood or neurotic symptoms and there were no features of delirium. There was no history of substance intoxication or withdrawal preceding the accident. He was initially treated with atypical antipsychotics which helped alleviate the irritability and agitation. However due to the evolving sexual disinhibition, he was switched to mood stabilizers which brought his symptoms to remission. This case report illustrates the plethora of potential symptoms following traumatic brain injuries, which could be dynamic and distressing to caregivers and doctors. Serial imaging, mapping of lesion sites to potential symptoms and anatomic correlates and judicious use of symptom-appropriate medication was vital in order to manage such patients.
format Article
author Mohd Amiruddin Mohd Kassim
Pang, Nicholas Tze Ping
Ng, Jun N.
author_facet Mohd Amiruddin Mohd Kassim
Pang, Nicholas Tze Ping
Ng, Jun N.
author_sort Mohd Amiruddin Mohd Kassim
title Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
title_short Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
title_full Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
title_fullStr Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
title_full_unstemmed Post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: A difficult choice for patient, carer and primary team
title_sort post-traumatic brain injury agitation and disinhibition after a motor vehicle accident: a difficult choice for patient, carer and primary team
publisher Edizioni Minerva Medica
publishDate 2021
url https://eprints.ums.edu.my/id/eprint/32599/1/Post-traumatic%20brain%20injury%20agitation%20and%20disinhibition%20after%20a%20motor%20vehicle%20accident_%20A%20difficult%20choice%20for%20patient%2C%20carer%20and%20primary%20team%20_ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/32599/
https://www.minervamedica.it/en/journals/minerva-psychiatry/article.php?cod=R17Y2021N01A0046
https://doi.org/10.23736/S2724-6612.20.02097-X
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score 13.211869

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