Subject(s)
Alzheimer Disease/psychology , Cognitive Dysfunction/psychology , Koro/psychology , Aged , Alzheimer Disease/complications , Alzheimer Disease/diagnostic imaging , Cognitive Dysfunction/complications , Cognitive Dysfunction/diagnostic imaging , Humans , Koro/complications , Koro/diagnostic imaging , MaleSubject(s)
Koro/complications , Koro/diagnosis , Panic Disorder/complications , Panic Disorder/diagnosis , Adult , Antidepressive Agents, Second-Generation/therapeutic use , Clonazepam/therapeutic use , Culture , GABA Modulators/therapeutic use , Humans , India , Koro/drug therapy , Male , Panic Disorder/drug therapy , Paroxetine/therapeutic useSubject(s)
Koro/complications , Schizophrenia/complications , Adult , Anti-Anxiety Agents/therapeutic use , Antipsychotic Agents/therapeutic use , Benzodiazepines/therapeutic use , Brain/diagnostic imaging , Brain/physiopathology , Diazepam/therapeutic use , Electroencephalography , Follow-Up Studies , Humans , Koro/diagnosis , Koro/drug therapy , Male , Olanzapine , Schizophrenia/drug therapy , Tomography, X-Ray ComputedABSTRACT
Koro and Cotard syndromes are uncommon conditions described in a variety of psychiatric and medical disorders. The authors report the third case of a simultaneous presentation of both syndromes, in a 62-year-old inpatient Spanish male with major depressive disorder with psychotic features, parkinsonism and cognitive impairment. A discussion of the literature and the possible relationship between both syndromes and other neuropsychiatric disorders are presented.
Subject(s)
Affective Disorders, Psychotic/complications , Cerebrovascular Disorders/complications , Cognitive Dysfunction/complications , Delusions/complications , Depressive Disorder, Major/complications , Koro/complications , Parkinson Disease, Secondary/complications , Schizophrenia, Paranoid/complications , Humans , Male , Middle Aged , Spain , SyndromeABSTRACT
Koro is a unique psychiatric disorder in which acute anxiety accompanies the perception of genital retraction. This case report describes a case of Koro syndrome associated with penile and scrotal pain. A review of the literature has not shown any previous report of Koro associated with genital pain.
Subject(s)
Genital Diseases, Male/complications , Koro/complications , Pain/etiology , Adult , Humans , Male , SyndromeABSTRACT
Koro is a psychiatric syndrome rare outside certain areas of South East Asia. Most cases described outside of this area are associated with other primary psychiatric syndromes. In this case a primary Koro like syndrome precipitated a brief reactive psychosis in a 32 year old single Irish male.
Subject(s)
Adjustment Disorders/complications , Koro/complications , Adjustment Disorders/epidemiology , Adult , Humans , Ireland/epidemiology , Koro/epidemiology , MaleABSTRACT
The koro syndrome is a psychiatric disorder characterized by acute anxiety and a deep-seated fear of shrinkage of the penis and its ultimate retraction into the abdomen, which will cause death. Concurrence of the koro (genital retraction) syndrome with a pathological condition of the urogenital system has rarely been described. We report a case of koro associated with infertility. Within 3 weeks of treatment with haloperidol the classic symptoms of koro disappeared. To our knowledge this case represents the sixth report of the koro syndrome associated with urogenital pathology and the first report of its association with infertility.
Subject(s)
Infertility, Male/complications , Jews , Koro/complications , Adult , Humans , MaleSubject(s)
Capgras Syndrome/complications , Koro/complications , Koro/drug therapy , Shared Paranoid Disorder/complications , Shared Paranoid Disorder/drug therapy , Antidepressive Agents/therapeutic use , Capgras Syndrome/drug therapy , Capgras Syndrome/therapy , Cognition Disorders/etiology , Electroconvulsive Therapy , Humans , Koro/therapy , Male , Middle Aged , Psychotherapy , Shared Paranoid Disorder/therapyABSTRACT
Clinical epidemiology, a term that has been variously defined, is used here to refer to a discipline which, commencing with examination and diagnosis of the individual patient who presents in medical practice, proceeds to study the occurrence of similar, possibly connected cases in the local community, and in so doing may provide hypotheses for population-based studies of disease and its risk factors. While the relevance of this discipline to the modern practice of clinical psychiatry remains largely unexplored, its importance in the search for causes of mental disorder is attested by many instances, both historical and more recent, in which the spread or clustering of psychiatric syndromes in populations could be related to nutritional deficiency, infectious disease, the presence of environmental neurotoxins, the social communication of psychopathology or the transmission of abnormal, harmful behaviour patterns within family groups. Observations made in clinical practice have repeatedly served as the starting point for epidemiological investigation of mental disorders, while conversely epidemiological findings have influenced clinical thinking about their classification, diagnosis, prognosis and morbid risk. A review of the relevant literature underlines the need for a keener awareness of environmental risk factors and a fundamentally epidemiological frame of reference in trying to grapple with the aetiological problems of mental disorder.