Open AccessA schizophrenic patient with cerebral infarctions after hemorrhagic shock
Author(s) -
Youichi Yanagawa,
Kenichi Ohara,
Yasutaka Tanaka,
Ryota Tanaka
Publication year - 2013
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.106327
Subject(s) - medicine , aphasia , cerebral infarction , anesthesia , olanzapine , apraxia , cardiology , abnormality , concomitant , stroke (engine) , shock (circulatory) , ischemia , schizophrenia (object oriented programming) , psychiatry , mechanical engineering , engineering
We herein report the fourth case of cerebral infarction, concomitant with hemorrhagic shock, in English literature. A 33-year-old male, who had been diagnosed with schizophrenia and given a prescription for Olanzapine, was discovered with multiple self-inflicted bleeding cuts on his wrist. On arrival, he was in hemorrhagic shock without verbal responsiveness, but his vital signs were normalized following infusion of Lactate Ringer's solution. The neuroradiological studies revealed multiple cerebral ischemic lesions without any vascular abnormality. He was diagnosed with speech apraxia, motor aphasia, and dysgraphia, due to multiple cerebral infarctions. As there was no obvious causative factor with regard to the occurrence of cerebral infarction in the patient, the hypoperfusion due to hemorrhagic shock, and the thromboembolic tendency due to Olanzapine, might have acted together to lead to the patient's cerebral ischemia.