Leochico Carl Froilan D, Espiritu Adrian I, Levitt Sarah E, Lemire-Rodger Sabrina, Guo Meiqi, Mitchell Sara B
Azrieli Brain Medicine Fellowship Program, Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Department of Rehabilitation Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Case Rep Psychiatry. 2025 Mar 9;2025:8175418. doi: 10.1155/crps/8175418. eCollection 2025.
Psychosis after mild traumatic brain injury (TBI) can be rare, complex, and functionally impairing, often requiring inputs from various specialties. This usually entails separate visits and long wait times. We present the case of an elderly patient with schizophrenia-like psychosis after a mild TBI. Three years after the TBI, the treating physiatrist requested diagnostic clarifications and treatment recommendations from a brain medicine clinic (BMC), a novel integrated virtual clinic composed of neurology, psychiatry, and other brain-related disciplines. Six months later, the patient was overall improved, and her driver's license, which had been suspended 6 months after the TBI, was reinstated. We discuss diagnostic and treatment challenges of TBI. BMCs could provide timely, comprehensive, and efficient access to multispecialty care and resources for patients with complex brain disorders and minimize the artificial siloes in healthcare.
轻度创伤性脑损伤（TBI）后出现的精神病可能较为罕见、情况复杂且会导致功能受损，通常需要多个专科的参与。这往往需要分别就诊且等待时间较长。我们介绍一例轻度TBI后出现类似精神分裂症精神病的老年患者的病例。TBI发生三年后，主治物理治疗师向一家脑医学诊所（BMC）寻求诊断澄清和治疗建议，该诊所是一个由神经科、精神科和其他与脑相关学科组成的新型综合虚拟诊所。六个月后，患者总体状况有所改善，其在TBI发生6个月后被吊销的驾照也得以恢复。我们讨论了TBI的诊断和治疗挑战。脑医学诊所可以为患有复杂脑部疾病的患者提供及时、全面且高效的多专科护理和资源获取途径，并最大限度减少医疗保健中的人为分隔。
