Persistent cerebellar dysfunction following acute lithium toxicity: A report of two cases.

Neurological disturbances caused by lithium range from simple side effects such as benign tremor to acute reversible neurotoxicity. Rarely, lithium is reported to cause irreversible, permanent neurological sequelae most commonly manifested as cerebellar dysfunction, although other presentations have also been described. We report two cases of persistent cerebellar syndrome following acute lithium toxicity and discuss them in the light of existing literature on the subject.

Premenstrual dysphoric disorder in medical students residing in hostel and its association with lifestyle factors.

Context: There is scant research on premenstrual syndrome (PMS) and its more severe counterpart, premenstrual dysphoric disorder (PMDD) in Indian females. This study aimed to evaluate symptoms of PMS in medical students and to find the association of sociodemographic variables and lifestyle factors with PMDD.

Subjects And Methods: A total of 179 medical students residing in the hostel of an Indian medical college and its affiliated teaching hospital were approached, of which 100 (55.

Comorbid Functional Shoulder Pain and Zolpidem Dependence Treated with Pramipexole.

Pramipexole is a dopamine agonist with higher affinity for D3 receptors. Treatment with pramipexole in clinical conditions such as restless legs syndrome, fibromyalgia, and parkinsonism has been found to significantly improve measures of pain and sleep along with the other symptoms. There is no research data available that explores the usefulness of pramipexole in somatoform/functional pain syndromes.

Ketamine-induced affective switch in a patient with treatment-resistant depression.

There is growing evidence to support the rapid, albeit short-lived antidepressant effect of subanesthetic dose of ketamine, a noncompetitive glutamate N-methyl-D-aspartate receptor antagonist in treatment-resistant unipolar and bipolar depression. Ketamine is known to cause transient mood elevation or euphoria, psychotomimetic effects, and dissociative symptoms, but its use in unipolar or bipolar depression has not been reported to induce an affective switch amounting to persistent or prolonged hypomania/mania or manic-like syndrome. We report the case of a 52-year-old male with first episode, continuous, nonpsychotic, treatment-resistant, unipolar major depression of 10 years duration, who manifested a switch from depression to mania while being treated with subanesthetic dose of ketamine, given intramuscularly.

Severe headache as a presenting complaint in sigmoid sinus thrombosis complicated by functional overlay.

An otherwise serious and potentially fatal organic condition may present with a co-existing strong functional component. We encountered a female patient who presented with bouts of severe headache over the occipital region, associated with blurring of vision. Initially, non-contrast computed tomography (CT) scan (Brain) showed normal study, and she was deemed as having functional symptoms.

Study of attitude of interns toward psychiatry: A survey of a tertiary level hospital in Ahmedabad.

Background: Worldwide, multiple studies demonstrate a negative attitude of interns toward psychiatry. Scenario in Gujarat state has never been looked upon. The objective of this study is to identify the situation in this region by studying the attitude of interns toward various areas of psychiatry and to study the gender differences if any.

Adolescent male peer sexual abuse: an issue often neglected.

Traditionally, sexual abuse is under-reported and under-recognized when the victims are boys. A study carried out by the Government of India in 2007 suggests that every second child/adolescent in the country faces some form of sexual abuse and it is nearly equally prevalent in both sexes. The significance of the problem is undermined all the more when the abuse is perpetrated by a peer.

Internet addiction and its correlates among high school students: a preliminary study from Ahmedabad, India.

Purpose: Internet addiction (IA) is an upcoming and less researched entity in psychiatry, especially in low and middle income countries. This is the first such effort to study IA amongst Indian school students of class 11th and 12th and to find its correlation with socio-educational characteristics, internet use patterns and psychological variables, namely depression, anxiety and stress.

Methods: Six hundred and twenty one students of six English medium schools of Ahmedabad participated, of which 552 (88.

Alternative Psychosis - Is it a Defined Clinical Entity?

Following seizure control with antiepileptic drugs and normalization of electroencephalogram, behavioral problem may appear for the first time in an epileptic patient. This phenomenon has been termed 'alternative psychosis'. However, it remains poorly understood in absence of any definite diagnostic criteria, and there are no specific guidelines to treat the condition.

Portrayal of psychiatrists in Hindi movies released in the first decade of the 21st century.

Context: Of late, there has been an increase in the number of psychiatrists shown in Hindi movies. There is dearth of systematic research that focuses specifically upon the depiction of psychiatrists in Hindi cinema.

Aim: To explore the portrayal of psychiatrists in recent Hindi cinema.