54-year-old male patient was admitted in endocrine ward and referred to our hospital for psychiatric consult due to malaise symptoms , dysphoric mood, irritability, insomnia, loss of appetite, increasing the amount of speech, lack of enjoyment of life, hopelessness, thoughts of worthlessness ,thoughts of death (these symptoms was started from 4 months ago ,after some career change ). other symp...

The main goal of this report was to share with clinicians an atypical presentation of pulmonary thromboembolism (PTE) in a young male`s post-appendectomy, whom he had no significant predisposing factors for such disease. The case also introduced for re-examining the challenges of PTE clinical manifestations which may mimic other differential diagnosis. PTE is an abrupt blockage of the pulmonary...

case presentation an elderly woman in a manic phase of bipolar disorder without a previous history of psychiatric disorders was concomitant with problematic sexual over stimulation in the context of hyper sexuality. she had traumatized her genitals and underwent surgery for their repair. following her admission and psychopharmacologic therapy, she recovered. introduction late onset bipolar diso...

cauda equina syndrome (ces) although uncommon, is a very serious condition, which should be diagnosed as soon as possible.  urinary dysfunction following a lumbosacral trauma is a key for the physician to consider ces as the most probable diagnosis. up to 62% of ces patients report a recent episode of trauma. we herein report a young man with ces due to sacral fracture with an interesting imaging.

Fractal dimension of the electroencephalographic (EEG) signal has been argued to reflect the complexity of the underlying brain processes. To this date, conventional studies of EEG in mood disorders have not been able to distinguish between patients and normal individuals. Here we show that, compared to normal subjects, EEG fractal dimension is significantly augmented in the manic episode of bi...