ABSTRACT
Herpetic encephalitis is associated with neurocognitive dysfunctions. Personality change and behavioral disturbances have been reported in 40 to 60 percents of patients with herpetic encephalitis. The present article reports a case with remitted encephalitis that manifests some behavioral changes and neuropsychological defects. A 17 year old boy became impulsive, aggressive, and restless and manifested stereotypical behavior after recovery from herpetic encephalitis. His symptoms lead to loss of function and several admissions in psychiatric wards due to his uncontrollable aggression. Brain imaging by MRI showed frontotemporal atrophy. There are some epileptiform discharge in patient's Electroencephalogram and patient showed learning disability and intellectual functions. The patient showed encephalitis associated personality change, behavioral disturbances and intellectual disabilities. Follow up studies with greater sample size can give more information about post encephalitis neuropsychiatric complications
Subject(s)
Humans , Male , Mental Disorders , Behavior , PersonalityABSTRACT
Objectivity, reliability and validity of examinations in psychiatry have always been one of the major concerns of experts in this discipline. Recently, objective structured clinical examination [OSCE] for its unique approach and by providing the requirements of psychiatric examinations has been a topic of interest. In Iran, an OSCE has been replaced the individual patient assessment [IPA] for examination of the National Board of Psychiatry. Although it is better to provide psychiatry OSCE in an extended time frame, in some cases this examination should be executed in a short period of time. For executing OSCE in psychiatry, especially if it should be performed in a short time, it requires addressing various points. In this article, based upon the previous experiences, we offer a standard format for establishing a practical, reliable and measurable OSCE in psychiatry in three days