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Article: Resolution of Auditory Hallucinations After Right Temporal Haemorrhagic Stroke in a Patient With Clozapine-Resistant Schizoaffective Disorder: a Case Report

TitleResolution of Auditory Hallucinations After Right Temporal Haemorrhagic Stroke in a Patient With Clozapine-Resistant Schizoaffective Disorder: a Case Report
Authors
KeywordsClozapine
Hallucinations
Schizophrenia
Issue Date1-Dec-2023
PublisherHong Kong Academy of Medicine Press
Citation
East Asian Archives of Psychiatry, 2023, v. 33, n. 4, p. 126-130 How to Cite?
Abstract

We present a young woman with clozapine-resistant schizoaffective disorder who was treated with maintenance electroconvulsive therapy and multiple antipsychotics but continued to have auditory hallucinations. She had a haemorrhagic stroke secondary to a ruptured arteriovenous malformation at the right superior temporal gyrus, which was excised during emergency craniotomy. Despite having neurological deficits after the stroke, she reported cessation of auditory hallucinations. Magnetic resonance imaging of the brain showed Wallerian degeneration over the right temporal region. Personalised neuromodulation intervention may be a more effective treatment option for clozapine-resistant schizophrenia.


Persistent Identifierhttp://hdl.handle.net/10722/347171
ISSN
2023 SCImago Journal Rankings: 0.364

 

DC FieldValueLanguage
dc.contributor.authorTsang, Yolanda Yuen Ching-
dc.contributor.authorHui, Nga Yu-
dc.contributor.authorChan, Sherry Kit Wa-
dc.date.accessioned2024-09-18T00:30:52Z-
dc.date.available2024-09-18T00:30:52Z-
dc.date.issued2023-12-01-
dc.identifier.citationEast Asian Archives of Psychiatry, 2023, v. 33, n. 4, p. 126-130-
dc.identifier.issn2078-9947-
dc.identifier.urihttp://hdl.handle.net/10722/347171-
dc.description.abstract<p>We present a young woman with clozapine-resistant schizoaffective disorder who was treated with maintenance electroconvulsive therapy and multiple antipsychotics but continued to have auditory hallucinations. She had a haemorrhagic stroke secondary to a ruptured arteriovenous malformation at the right superior temporal gyrus, which was excised during emergency craniotomy. Despite having neurological deficits after the stroke, she reported cessation of auditory hallucinations. Magnetic resonance imaging of the brain showed Wallerian degeneration over the right temporal region. Personalised neuromodulation intervention may be a more effective treatment option for clozapine-resistant schizophrenia.</p>-
dc.languageeng-
dc.publisherHong Kong Academy of Medicine Press-
dc.relation.ispartofEast Asian Archives of Psychiatry-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectClozapine-
dc.subjectHallucinations-
dc.subjectSchizophrenia-
dc.titleResolution of Auditory Hallucinations After Right Temporal Haemorrhagic Stroke in a Patient With Clozapine-Resistant Schizoaffective Disorder: a Case Report-
dc.typeArticle-
dc.identifier.doi10.12809/eaap2340-
dc.identifier.pmid38955785-
dc.identifier.scopuseid_2-s2.0-85183024972-
dc.identifier.volume33-
dc.identifier.issue4-
dc.identifier.spage126-
dc.identifier.epage130-
dc.identifier.eissn2224-7041-
dc.identifier.issnl2078-9947-

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