A case report on psychosis following traumatic brain injury

INTRODUCTION: Psychosis is a relatively infrequent but potentially serious and debilitating consequence of traumatic brain injury However, the role of TBI in the Genesis of psychosis is a complex matter about which there is considerable scientific uncertainty and disagreement. Although the frequency of psychosis following TBI exceeds that of general (Davison & Bagley, 1969; Achte et al., 196population9; Achteet al., 1991), CASE REPORT: A 53years old male patient Mr. X studied till 10class, married, used to work in rice mill belonging to middle socio-economic status, hailing from urban background was accompanied to the OPD by his sister. Informant had complaints of head injury with LOC 8 months back (suspiciousness on wife abusing family members, Hearing of voices which are unexisted, abnormal behavior, and memory impairment since 6 months. Patient started suspecting his wife that she is having affair with neighbors and whenever his wife goes to bathroom and to outside for shop for basic needs he started to abuse her that she is having affair with neibours and when confronted by wife he used tell that 10 members male and female are discussing that she has affair with neighborhood person and they are telling him and then she started to abuse wife and son and used to beat without provocation which is associated with disturbed sleep and reduced appetite. Later he started to go away from home and went to sisters home for and complains to sister about wife that stranger was coming to meet his wife. Whenever they tried explaining that it is not true he used to quarrel with also this he also had memory disturbances. All the investigations were normal and he was started on Tab. Olanzepine5mg B. D and Tab. Lorazepam 2mg SOS and tab Bcomplex O. D DISCUSSION: The psychosis after traumatic brain injury occurs in 1% of all TBI’s Psychosis after traumatic brain injury (TBI) is a relatively uncommon condition that presents both clinical and conceptual challenges. DSM-5 criteria for Psychotic Disorder due to Another Medical Condition define psychotic disorder due to TBI as delusions or hallucinations that are direct physiologic consequences of TBI. Here, we present a patient with psychotic disorder following traumatic brain injury which was located in bilateral temporal lobes r and left lateral ventricle Considering the accurate temporal relationship between the brain trauma and following psychotic symptoms, we think that this case represents a smart sample of a patient with psychotic symptoms which were associated with traumatic brain injury. Following the accident, the patient had suffered a moderate cognitive impairment, and apparent behavioral changes Hence, evaluating this patient as Temporal lobe damage and accompanying psychotic disorder may be more rational. In conclusion, this report illustrates an interesting patient with post-traumatic psychosis in addition to other temporal disturbances which constitutes a demonstrative report for clinical concerns. Future reports of larger cases of these patients in association with brain lesions will add substantial insights for understanding the anatomical pathways underlying psychosis as well as other neurological disorders. These study results may also add new perspectives to the unknown aspects of the pathophysiology of primary psychosis, from a distinct point of view. CONCLUSION: Collaborative efforts are needed to continue support and research in this field in future, accommodating biter treatment and rehabilitative options to patients who suffer with TBi