| Abstract [eng] |
Organic delusional disorder falls under a group of mental disorders which develop due to brain damage, dysfunction or due to a physical disease. The key components of this disorder are permanent or episodically occurring delusions, that can appear along with hallucinations, thought disorders and signs of catatonia. Clinical case, presented in this paper: a female patient, 89 years of age, hospitalised in Vilnius city Mental Health Centre, due to inadequate behaviour, thought disorder, delusions as well as hallucinations. Reflecting on collected subjective and objective anamnestic data, it was found that the symptoms developed and reached a more complex structure throughout the course of a few years. In brain imaging, subcortical damage secondary to cerebrovascular disease was discovered. It was undoubtedly associated with the patient’s cardiovascular risk factors, and with reference to the scientific literature, was the most likely etiological factor. Antipsychotic treatment was administered, and thereafter symptoms resolved to a certain degree – hallucinations were resolved, theft delusions as well as delusions of reference remained, although they didn’t cause any effect on patient’s behaviour or mood. Based on scientific literature, the aetiological spectrum of organic delusion disorder is vast, therefore the a thorough diagnostic process is not only needed to treat this disorder, but also to identify and resolve the factors that caused it. |
