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Silent Lacunar Infarct With Peduncular Hallucinosis

Date: 18 May 2017

MJP Online Code: MJP-02-06-16

Section: Case Report

Authors: Singh J1, Ahmad N2

Institutions: 1Hospital Permai, Tampoi, Johor Bahru, Malaysia
2Department of Psychiatry, Hospital Sultanah Aminah, Johor Bahru, Malaysia

Keywords: Lacunar Infarct, Pons, Young Stroke, Peduncular Hallucinosis, Organic

Abstract: Objective: Lacunar infarct is a small infarct in the distal distribution of deep penetrating vessels. A silent stroke is not associated with outward symptoms. The objective of this report is to highlight a case of a silent young stroke presenting with peduncular hallucinosis. Methods: This gentleman was thoroughly investigated and was found to have a lacunar infarct of the Pons and Occipital Lobe. A further referral to Neurology thereafter; for an in depth investigation into the cause of this silent young stroke. Results: Treatment with low dose antipsychotic resolved the complaints; while the episode being transient. Conclusion: Organic psychosis is responsive to antidopaminergic agents, via action on the Ponto-Geniculo-Occipital pathways.

To read the full paper please login to MPA's website via the member login or visit MPA's Malaysian Journal of Psychiatry (MJP) e-Journal website at www.mjpsychiatry.org


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