We report a patient diagnosed as having subacute encephalopathy with frequent seizures in alcoholics (SESA syndrome), in which recurrent, non-convulsive seizures of frontal origin contributed significantly to the alteration of the mental state. Our case suggests that the occurrence of episodes of complex partial status epilepticus (CPSE) may contribute greatly to the origin and pathophysiology ...

A 76-year-old man was noted by his sister, with whom he lived, to have become increasingly confused for 6 months. He gradually became more dependent on her, even for basic activities of daily living such as dressing, but he remained fully ambulant and was not unsteady. He had no headaches or other specific symptoms, there was no relevant medical history, and he was not receiving any regular med...

The syndrome of transient headache and neurologic deficits with cerebrospinal fluid lymphocytosis (HaNDL syndrome) is a self-limited condition. Confusional states are uncommonly reported as a clinical manifestation of this syndrome. Here, I report a 76-year-old female who presented with headache, confusion, and agitation with a mild CSF lymphocytosis. Other workup to determine the cause of her ...

The pathogenesis of neuropsychiatric syndromes of systemic lupus erythematosus (NPSLE) is multifactorial and can involve various inflammatory cytokines, autoantibodies such as anti-neuronal antibodies, anti-ribosomal P antibodies, anti-NR2 glutamate receptor binding antibodies, anti-Sm antibodies, anti-U1-RNP antibodies and anti-phospholipid antibodies, and immune complexes (IC). Disruption of ...

Background: Gallstone ileus post-cholecystectomy is extremely rare surgical emergency causing mechanical bowel obstruction. This condition usually misdiagnosed due to its non-specific clinical features. Radiological investigations are essential evaluate and diagnose gallstone cases. Case Presentation: A 92-year-old female patient, cholecystomized, presented our hospital with a one-week history ...

Introduction: Delirium, also known as acute Confusional state, is a common presentation in geriatrics. It is characterized by an acute and a fluctuating disturbance of consciousness, and a deficit in cognitive functions. Delirium that occurs in demented people is referred to as delirium superimposed on dementia. Case Presentation: The patient presented here was a challenging case of an elderly ...

context we briefly reviewed the evidence on the association of hepatitis c (hcv) infection with several aspects of mental and psychosocial health. evidence acquisition medline was searched with appropriate keywords. the primary sources were the systematic reviews. if systematic reviews were not available for a subject, then the most relevant and methodologically sound original studies were sele...