Ahmedy, Fatimah and Loo, Jiann Lin and Mazlan, Mazlina (2020) Aphagia in frontal lobe syndrome following traumatic brain injury: Delightful lessons from olanzapine treatment. Indian Journal of Psychiatry, 62 (6). pp. 732-733. ISSN 00195545, DOI https://doi.org/10.4103/psychiatry.IndianJPsychiatry_334_19.
Full text not available from this repository.Abstract
A case of persistent aphagia in frontal lobe syndrome after traumatic brain injury (TBI) with successful use of olanzapine to improve the eating disorder is presented. A 20-year-old man suffered a severe TBI with right frontal intracerebral haemorrhage At four-month post-TBI, he had agitation, concurrent apathy with constant refusal for oral swallow despite gustatory sensory stimulation, hence the needs for nasogastric tube (NGT) feeding. He was diagnosed with frontal lobe syndrome and prescribed olanzapine 5mg daily that was optimised to 10mg due to worsened aggression. One month later, the aggression reduced with gradual improvement in oral intake. Percutaneous enterogastrostomy (PEG) tube insertion was cancelled and the NGT was sucessfully removed. Olanzapine prescription in this case improved aggression and aphagia simultaneously. Although olanzapine is proven beneficial and surgical intervention for long-term enteral feeding was avoided in this case, its usage requires judicious judgement.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Frontal lobe syndrome; Olanzapine treatment; Post-traumatic aphagia; Traumatic brain injury |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RM Therapeutics. Pharmacology |
| Divisions: | Faculty of Medicine Faculty of Medicine > Rehabilitation Medicine Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 29 Nov 2023 12:22 |
| Last Modified: | 29 Nov 2023 12:22 |
| URI: | http://eprints.um.edu.my/id/eprint/36270 |
Actions (login required)
 |
View Item |
