%0 Journal Article
%T Neuropsychiatric Findings in a Delayed Encephalopathy Due to Carbon Monoxide Intoxication
%A A. Emre SARGIN
%A Hava D£¿NMEZ
%A Sibel £¿RSEL
%A Tahir Kurtulu£¿ YOLDA£¿
%J N£¿ropsikiyatri Ar£¿ivi
%D 2009
%I Galenos Yayicilik
%X Carbon monoxide (CO) intoxication can be a deadly condition and is a very common public health problem in Turkey due to the use of coal stoves during the winter months in homes. Carbon monoxide intoxication accounts for more than half of the deaths due to intoxications in Turkey. It is very likely to misdiagnose the cases of delayed anoxic encephalopathy (DAE) which are seen after the latent period following the acute intoxication. In delayed anoxic encephalopathy, following complete recovery and after a latent period, neurologic and/or psychiatric symptoms appear again. The symptom triad of DAE is mental deterioration, urinary and/or gaita incontinence and gait disturbances. The psychiatric appearance in DAE can be seen in a variety of very different findings including dementia, amnestic syndromes, organic affective disorders, personality disorders and psychosis. In this case report, we present a 35-year-old man, who was admitted to the hospital because of irritability and loose mind. The patient did not have any previous psychiatric or neurologic disorder, but he had CO intoxication 33 days before the admission and was discharged from the hospital following a hyperbaric oxygen treatment with a complete recovery. After a 15-day latency period he was admitted to the hospital because of the mentioned symptoms. The differential diagnosis of the rich neuropsychiatric findings together with cranial magnetic resonance imaging findings (MRI) are discussed in this patient. (Archives of Neuropsychiatry 2009; 46: 121-4)
%K Carbon monoxide
%K delayed anoxic encephalopathy
%K intoxication
%U http://www.turknoropsikiyatri.org/PDF/2009/Eylul/121-124.pdf