Case Report
Year: 2020 | Month: October-December | Volume: 5 | Issue: 4 | Pages: 97-99
Supraclinoid Aneurysm Presenting as Late Onset Schizophrenia with Visual Hallucination-Unsolved Mystery
Prajakta V Rao1, K. Priya Nayak2
1Senior Resident, Department of Psychiatry Srinivas Institute of Medical College, Mangalore, Karnataka.
2Assistant Professor, Father Muller Medical College Hospital, Mangalore, Karnataka.
Corresponding Author: Prajakta V Rao
ABSTRACT
Psychotic disorders are fairly not uncommon in late life. These disorders often have varied clinical presentations, various etiologies and are associated with significant morbidity and mortality among the older adult population. The etiologies for psychosis in late life vary from psychosis in younger individuals, with a greater incidence of secondary causes for psychosis among older adults. Psychosis in late life is associated with higher rates of morbidity and mortality when compared with psychosis in younger adults. The treatment of psychosis is further complicated by the higher incidence of adverse effects when antipsychotic medications are prescribed to older adults then to younger adults. Although differentiating primary from secondary causes of psychosis can be challenging, it can be accomplished by obtaining a thorough history, physical examination, by using neuropsychological assessments, and by the appropriate use of laboratory data. This paper reports a unique case of late onset schizophrenia and presence of unruptured saccular aneurysm and small vessel ischemic changes on neuroimaging.
Keywords: psychosis, etiology, antipsychotic, mortality, secondary, neuroimaging.