Isolated Cerebellar Stroke Masquerades as Depression

Objective: There are numerous reports on neurological conditions masquerading as psychiatric disorders. However, cerebellar stroke is not established as one of it. The 2 case reports will highlight that this masquerade is possible and the physician's high index of suspicion is the key to accu...

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Main Authors: Othman, Zahiruddin, Misron, Siti Nor Fadhlina, Azizan, Mohammad Nabhan Khalil
Format: Article
Language:English
Published: Japan International Cultural Exchange Foundation 2018
Subjects:
Online Access:http://eprints.usm.my/45300/
http://eprints.usm.my/45300/1/222-13Othman.pdf
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author Othman, Zahiruddin
Misron, Siti Nor Fadhlina
Azizan, Mohammad Nabhan Khalil
author_facet Othman, Zahiruddin
Misron, Siti Nor Fadhlina
Azizan, Mohammad Nabhan Khalil
author_sort Othman, Zahiruddin
building USM Institutional Repository
collection Online Access
description Objective: There are numerous reports on neurological conditions masquerading as psychiatric disorders. However, cerebellar stroke is not established as one of it. The 2 case reports will highlight that this masquerade is possible and the physician's high index of suspicion is the key to accurate diagnosis. Results: The case reports illustrated how a cerebellar stroke could be misdiagnosed as a depression due to its presenting symptoms of vertigo. The rarity of cerebellar stroke itself already posed a challenge for the physician to detect it but the mimicking of depression was the ultimate obstacle. Conclusion: The acute onset strongly suggests an organic cause. It is important to ascertain depression through depressive mood, and not by behavioral changes alone. Correct diagnosis of cerebellar stroke is of paramount importance so that early intervention can be delivered to the patient.
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spelling usm-453002019-08-26T08:21:45Z http://eprints.usm.my/45300/ Isolated Cerebellar Stroke Masquerades as Depression Othman, Zahiruddin Misron, Siti Nor Fadhlina Azizan, Mohammad Nabhan Khalil RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Objective: There are numerous reports on neurological conditions masquerading as psychiatric disorders. However, cerebellar stroke is not established as one of it. The 2 case reports will highlight that this masquerade is possible and the physician's high index of suspicion is the key to accurate diagnosis. Results: The case reports illustrated how a cerebellar stroke could be misdiagnosed as a depression due to its presenting symptoms of vertigo. The rarity of cerebellar stroke itself already posed a challenge for the physician to detect it but the mimicking of depression was the ultimate obstacle. Conclusion: The acute onset strongly suggests an organic cause. It is important to ascertain depression through depressive mood, and not by behavioral changes alone. Correct diagnosis of cerebellar stroke is of paramount importance so that early intervention can be delivered to the patient. Japan International Cultural Exchange Foundation 2018-08 Article PeerReviewed application/pdf en http://eprints.usm.my/45300/1/222-13Othman.pdf Othman, Zahiruddin and Misron, Siti Nor Fadhlina and Azizan, Mohammad Nabhan Khalil (2018) Isolated Cerebellar Stroke Masquerades as Depression. International Medical Journal, 25 (4). pp. 222-223. ISSN 1341-2051 http://www.seronjihou.co.jp/IMJ/backnumber-IMJ.html
spellingShingle RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Othman, Zahiruddin
Misron, Siti Nor Fadhlina
Azizan, Mohammad Nabhan Khalil
Isolated Cerebellar Stroke Masquerades as Depression
title Isolated Cerebellar Stroke Masquerades as Depression
title_full Isolated Cerebellar Stroke Masquerades as Depression
title_fullStr Isolated Cerebellar Stroke Masquerades as Depression
title_full_unstemmed Isolated Cerebellar Stroke Masquerades as Depression
title_short Isolated Cerebellar Stroke Masquerades as Depression
title_sort isolated cerebellar stroke masquerades as depression
topic RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
url http://eprints.usm.my/45300/
http://eprints.usm.my/45300/
http://eprints.usm.my/45300/1/222-13Othman.pdf