Transcript BIPOLAR DISORDER PRESENTATION

ORGANIC
PSYCHIATRY
PRESENTATION
BY
DR. PERVAIZ AHMAD
CASE HISTORY
Miss. Sadia Aslam, 12 years of age, a
student of class 7th un-married, R/O
Shahdara Lahore, was referred to OPD,
PIMH, Lhr. by a local family Physician for
expert management. Before coming to
this Institute she was seen by a number
of local family Physicians, who diagnosed
her a case of Epilepsy and every body
started some anti-epileptic drugs but she
deteriorated. When she presented in the
OPD of PIMH she was having Epileptic fits
daily.
GENERAL PHYSICAL EXAMINATION
A
thin lean girl, with pale colour, rapid
pulse, low grade fever and enlarged left
sided cervical lymphnodes.
Tonic
colonic grand mal epileptic fit.
INVESTIGATIONS
Hb12.00gm%
ESR (78mm/1st HR)
Biopsy cervical lymphnodes
chronic grannulomatus lymphadenitis
CT Scan brain
left frontal neoplastic lesion.
MRI
acute haemorrage in left frontal region.
No fundoscopic abnormality.
No Neurological deficit.
DIAGNOSIS
Tuberculoma causing epileptic fits.
TREATMENT
ATT
Anti-epileptic drug (Carbamazepine)
CONCLUSION
Epilepsy is a SYMPTOM not a disease.