Carotid endarterectomy for symptomatic carotid artery stenosis in a patient who presented with psychosis. Issue 4 (4th April 2022)

• Record Type: Journal Article
• Authors: Hassanin, Ahmed; Ramsamaroo, Zachary; Barry, Mary; Cassidy, Tim
• Is Part Of: BMJ case reports. Volume 15:Issue 4(2022)
• Publication Date: 2022-04-04
• Subjects: stroke -- suicide (psychiatry) -- depressive disorder -- vascular surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-242457
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Acute psychosis is an unusual presentation of stroke particularly in a patient with no history of psychiatric illness. We report a case where an elderly male patient with self-inflicted injuries caused by acute psychosis. The investigation confirmed an acute left hemispherical stroke associated with a high-grade left internal carotid artery stenosis. The patient underwent a successful left carotid endarterectomy. His psychotic symptoms resolved and he was discharged home without the need for neuroleptic medication.