Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking
Psychiatric symptoms at presentation may often be missed, if not suspected or specifically explored. A missed psychiatric diagnosis may lead to dire consequences in terms of poor quality of life and function for the patient, affecting overall quality of healthcare provided. This lady presented with...
| _version_ | 1796911256109580288 |
|---|---|
| author | Natasha Subhas Pang, Nicholas Tze Ping Kok, Yoon Chee Norzaini Rose Mohd Zain Kok, Liang Teng Sandi James |
| author_facet | Natasha Subhas Pang, Nicholas Tze Ping Kok, Yoon Chee Norzaini Rose Mohd Zain Kok, Liang Teng Sandi James |
| author_sort | Natasha Subhas |
| collection | UMS |
| description | Psychiatric symptoms at presentation may often be missed, if not suspected or specifically explored. A missed psychiatric diagnosis may lead to dire consequences in terms of poor quality of life and function for the patient, affecting overall quality of healthcare provided. This lady presented with depressive symptoms after multiple strokes and was initially diagnosed as post stroke depression. However, after it was observed that she did not show any improvement in symptoms despite being on antidepressants, subsequent further investigations revealed a history more suggestive of subcortical vascular dementia. Consequently, detailed neuropsychological and neuropsychiatric assessments, including NUCOG, and relevant investigations including MRI brain scans were performed suggesting a diagnosis of vascular dementia. This case illustrates that an insufficiently thorough assessment and treatment process results in unnecessary morbidity, prolongs duration of illness, and increases social and occupational dysfunction to the patient. Hence, it further underscores the need to perform a thorough history, physical examination and relevant investigations to ensure organic aetiologies are ruled out in clients with relevant sociodemographic and clinical risk factors. |
| first_indexed | 2024-03-06T03:16:10Z |
| format | Article |
| id | ums.eprints-32647 |
| institution | Universiti Malaysia Sabah |
| language | English English |
| last_indexed | 2024-03-06T03:16:10Z |
| publishDate | 2021 |
| publisher | University Hospital Center Sestre milosrdnice |
| record_format | dspace |
| spelling | ums.eprints-326472022-06-08T01:43:48Z https://eprints.ums.edu.my/id/eprint/32647/ Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking Natasha Subhas Pang, Nicholas Tze Ping Kok, Yoon Chee Norzaini Rose Mohd Zain Kok, Liang Teng Sandi James RC435-571 Psychiatry Psychiatric symptoms at presentation may often be missed, if not suspected or specifically explored. A missed psychiatric diagnosis may lead to dire consequences in terms of poor quality of life and function for the patient, affecting overall quality of healthcare provided. This lady presented with depressive symptoms after multiple strokes and was initially diagnosed as post stroke depression. However, after it was observed that she did not show any improvement in symptoms despite being on antidepressants, subsequent further investigations revealed a history more suggestive of subcortical vascular dementia. Consequently, detailed neuropsychological and neuropsychiatric assessments, including NUCOG, and relevant investigations including MRI brain scans were performed suggesting a diagnosis of vascular dementia. This case illustrates that an insufficiently thorough assessment and treatment process results in unnecessary morbidity, prolongs duration of illness, and increases social and occupational dysfunction to the patient. Hence, it further underscores the need to perform a thorough history, physical examination and relevant investigations to ensure organic aetiologies are ruled out in clients with relevant sociodemographic and clinical risk factors. University Hospital Center Sestre milosrdnice 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/32647/1/Case%20report%20on%20a%20misdiagnosed%20case%20of%20subcortical%20vascular%20dementia%20%E2%80%93%20the%20importance%20of%20sound%20knowledge%20of%20psychiatry%20with%20proper%20history%20taking.pdf text en https://eprints.ums.edu.my/id/eprint/32647/3/Case%20report%20on%20a%20misdiagnosed%20case%20of%20subcortical%20vascular%20dementia%20%E2%80%93%20the%20importance%20of%20sound%20knowledge%20of%20psychiatry%20with%20proper%20history%20taking%20_ABSTRACT.pdf Natasha Subhas and Pang, Nicholas Tze Ping and Kok, Yoon Chee and Norzaini Rose Mohd Zain and Kok, Liang Teng and Sandi James (2021) Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking. Archives of Psychiatry Research, 57. pp. 209-218. ISSN 2671-1079 (P-ISSN) , 2671-2008 (E-ISSN) https://hrcak.srce.hr/file/374357 http://dx.doi.org/10.20471/dec.2021.57.02.09 http://dx.doi.org/10.20471/dec.2021.57.02.09 |
| spellingShingle | RC435-571 Psychiatry Natasha Subhas Pang, Nicholas Tze Ping Kok, Yoon Chee Norzaini Rose Mohd Zain Kok, Liang Teng Sandi James Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking |
| title | Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking |
| title_full | Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking |
| title_fullStr | Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking |
| title_full_unstemmed | Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking |
| title_short | Case report on a misdiagnosed case of subcortical vascular dementia – the importance of sound knowledge of psychiatry with proper history taking |
| title_sort | case report on a misdiagnosed case of subcortical vascular dementia the importance of sound knowledge of psychiatry with proper history taking |
| topic | RC435-571 Psychiatry |
| url | https://eprints.ums.edu.my/id/eprint/32647/1/Case%20report%20on%20a%20misdiagnosed%20case%20of%20subcortical%20vascular%20dementia%20%E2%80%93%20the%20importance%20of%20sound%20knowledge%20of%20psychiatry%20with%20proper%20history%20taking.pdf https://eprints.ums.edu.my/id/eprint/32647/3/Case%20report%20on%20a%20misdiagnosed%20case%20of%20subcortical%20vascular%20dementia%20%E2%80%93%20the%20importance%20of%20sound%20knowledge%20of%20psychiatry%20with%20proper%20history%20taking%20_ABSTRACT.pdf |
| work_keys_str_mv | AT natashasubhas casereportonamisdiagnosedcaseofsubcorticalvasculardementiatheimportanceofsoundknowledgeofpsychiatrywithproperhistorytaking AT pangnicholastzeping casereportonamisdiagnosedcaseofsubcorticalvasculardementiatheimportanceofsoundknowledgeofpsychiatrywithproperhistorytaking AT kokyoonchee casereportonamisdiagnosedcaseofsubcorticalvasculardementiatheimportanceofsoundknowledgeofpsychiatrywithproperhistorytaking AT norzainirosemohdzain casereportonamisdiagnosedcaseofsubcorticalvasculardementiatheimportanceofsoundknowledgeofpsychiatrywithproperhistorytaking AT kokliangteng casereportonamisdiagnosedcaseofsubcorticalvasculardementiatheimportanceofsoundknowledgeofpsychiatrywithproperhistorytaking AT sandijames casereportonamisdiagnosedcaseofsubcorticalvasculardementiatheimportanceofsoundknowledgeofpsychiatrywithproperhistorytaking |