Department of Vascular Surgery, St Vincent's University Hospital, Dublin, Ireland
Vascular Surgery Department, Sohag University, Sohag, Egypt.
BMJ Case Rep. 2022 Apr 4;15(4):e242457. doi: 10.1136/bcr-2021-242457.
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.
急性精神病是一种不常见的中风表现，特别是在没有精神病史的患者中。我们报告了一例因急性精神病而自残的老年男性患者。调查证实了左侧大脑半球急性中风与左侧颈内动脉高级别狭窄有关。患者成功接受了左侧颈动脉内膜切除术。他的精神病症状得到缓解，无需使用神经阻滞剂即可出院回家。
