We experienced a cases of late onset-schizophrenia in 83 year-old woman who was involuntary admitted by sons. She showed florid psychotic symptoms of persecutory delusion, auditory and visual hallucination, somatic passivity experiences, idea of
reference, self-talking, anhedonia, poverty of speech, flattening & restricted affect, irritable tense and anxious mood, insomnia, aggression, poor of eye contact, poor of personal hygiene, social withdrawal, impairment of role functioning from 2
months
ago. Other personality problems showed odd belief and magical thinking influence behavior, paranoid ideation, peculiar behavior, General condition was poor because she refused the food and lost the ability of caring herself. Past histroy reported
previous psychotic episodes (1986, 1991) and family history reported the mental disorder of her brother. She was diagnosed as late-onset schiaophrenia, paranoid, episodic with interepisode residual symptoms (Paraphrenia) and schizotypal
personality
trait. During the hospitalization, she had been studied : brain MRI was nonspecific, brain SPECT showed the hypoperfusion of frontal lobe She was treated with high-potency antipsychotic (haloperidol) and a supportive psychotherapy. She improved
and
was
discharged with clear sensorium without any psychotic symptoms but no insight.
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