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QJM Advance Access published online on October 28, 2009
QJM, doi:10.1093/qjmed/hcp155
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© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

One confused patient, many confused physicians: a case of delayed post-hypoxic leucoencephalopathy

I.R. Wallace, C. Dynan and T. Esmonde

From the Departments of Internal Medicine (IW), Radiology (CD) and Neurology (TE), Antrim Area Hospital, Bush Road, Antrim, BT41 2RL, UK

Address correspondence to Dr Ian Wallace, Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Grosvenor Road, Belfast, BT12 6BA, UK. Tel: 028 9063 4462; Fax: 028 9031 0111; email: i.wallace@qub.ac.uk

The first 10% of the full text of this article appears below.


   Case Report
 
A 28-year-old gentleman was referred to our medical department from the psychiatry department, with problems of confusion, disorientation and inappropriate behaviour. He was apyrexic and physical examination was unremarkable. He denied hallucinations, delusions or mood disturbance and had no insight of his current problems. Mini-Mental State Examination (MMSE)1 score was 6/30.

Two years previously he started to use cocaine and heroin episodically. He consumed more than 40 units of alcohol . . . [Full Text of this Article]


   Discussion
 

   Conclusion
 

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