Abstract

CASTANO RAMIREZ, Oscar Mauricio; GOMEZ BEDOYA, Carlos Andrés; GARCIA HENAO, Laura María  and  CASTRO NAVARRO, Juan. Neuropsychiatrie symptoms as the only acute manifestation of a stroke in the left hemisphere. Case report. rev.colomb.psiquiatr. [online]. 2020, vol.49, n.3, pp.194-198.  Epub Jan 17, 2021. ISSN 0034-7450.  https://doi.org/10.1016/j.rcp.2019.02.001.

We report the case of a 60-year-old female patient with a history of hypertension and dyslipidemia, who suddenly presented with a clinical picture of emotional lability, disorientation, complex visual hallucinations and persecutory delusions. There were no associated neurological findings in her initial physical examination. At a local hospital she was initially diagnosed with late-onset bipolar disorder and a manic episode with psychotic features, then referred to the mental health unit, where nuclear magnetic resonance (NMR) imaging of the brain revealed an acute ischemic stroke in the territory of the left posterior cerebral artery (PCA) with haemorrhagic reperfusion to the occipital cortex. Complete and spontaneous resolution of her clinical condition was achieved after approximately 15 days.

Keywords : Stroke; Diagnostic Errors; Posterior Cerebral Artery Infarct; Mental Disorders.

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