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author:("Gandhi, prima")
1.  Psychosis in temporal lobe epilepsy: atypical presentation 
BMJ Case Reports  2012;2012:bcr1120115169.
A 55-year-old lady was admitted following a concern raised by family members who had noticed a change in behaviour in terms of declining mood, paranoia with expression of belief that she was being bugged, also reported smelling perfume and after shave lotion. She had a prior diagnosis of bipolar mood disorder and was on lithium but remained no-compliant with her prescribed medication in the 10 weeks before admission. Upon admission, necessary investigations were performed including CT scan and EEG. Her CT was normal but EEG was grossly abnormal. Neurology consultation was sought and a sleep deprived EEG and MRI was ordered. Meanwhile, carbamezipine was commenced in view of the change in diagnosis to that of temporal lobe epilepsy. The patient responded very well to this regime and improved in all spheres. She was finally discharged with follow-up appointments with both neurology and psychiatry clinics.
doi:10.1136/bcr.11.2011.5169
PMCID: PMC3263120  PMID: 22665878
2.  Delusion or obsession: Clinical dilemma 
BMC Research Notes  2012;5:384.
Background
A 52-year old lady presented for admission with severe depression characterised by suicidal ideation and delusional belief.
Case presentation
Her treatment regime was reviewed and modified. The dilemma was whether she suffered from a psychotic depression with delusion or an obsessional disorder. She responded well to change of antipsychotic medication.
Conclusions
Her depression went in remission and her delusional belief decreased in intensity. She also gained reasonable insight into her problem. She is currently being followed up in the psychiatric outpatient clinic.
doi:10.1186/1756-0500-5-384
PMCID: PMC3441776  PMID: 22838396
Delusion; obsession; psychosis; phenomenology

Results 1-2 (2)