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New insights into delusional misidentification syndromes
Recent findings that suggest delusional misidentification syndromes might arise from single lesions at unique locations within the neural connections in the brain challenges some long‐held beliefs about the underlying pathology of these enigmatic syndromes. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Mark Greener Tags: News review Source Type: research

Complexities and conundrums in mental health
Delegates at the 16th Latest Advances in Psychiatry Symposium held in London in March 2017, were treated to a cornucopia of data and insights from the latest research into a range of psychiatric illnesses. Psychiatry is fully intent on proving its worth with brain imaging, genetics, and many other sophisticated clinical research techniques being used to demonstrate its interventions have value. Steve Titmarsh sat back and took it all in and here reports on some of what intrigued him most. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Steve Titmarsh Tags: Conference Source Type: research

Personality disorders in older adults: diagnosis and management
Personality disorder traits can be quite problematic in older adult patients and the effects of these traits can sometimes present as risks that the professionals working in this field must be confident in managing. It is therefore crucial that information around the presentation and management of these disorders in the older adult psychiatry patient cohort is available. Here, the authors summarise current knowledge regarding the assessment and management of personality disorders in the older adult population, based on a literature search. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Saba Mattar, Farooq Khan Tags: Review Source Type: research

Patients' experiences of and attitudes towards ECT
Since its introduction electroconvulsive therapy (ECT) has received varied responses from the public and the media. Even though it is an effective treatment, its use has been restricted to very few serious psychiatric disorders. In this paper, Dr Guruvaiah and colleagues capture patients' and their carers' positive experience and attitude towards ECT following their treatment, which can act as reassurance for patients undergoing this efficacious therapy. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Latha Guruvaiah, Karthikeyan Veerasamy, Muhammad Naveed, Swami Kudlur, Farah Chaudary, Ann Paraiso Tags: Original Research Source Type: research

CSF biomarkers and the diagnosis of variant forms of Alzheimer's disease
The differential diagnosis of progressive neurodegenerative disorders may sometimes be challenging, despite longitudinal assessment and access to traditional modalities of structural and functional neuroimaging. In this article, the authors describe a patient tentatively diagnosed with corticobasal syndrome in whom investigation with cerebrospinal fluid biomarkers led to diagnostic revision and new therapeutic options. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Alex Wojtowicz, Jonathan M Schott, Andrew J Larner Tags: Case notes Source Type: research

Frontotemporal dementia presenting as severe depression
Frontotemporal dementia (FTD) is a heterogeneous neurodegenerative disease whose early behavioural and emotional symptoms often mimic psychiatric disorders. Here, the authors highlight the challenges of diagnosis with the reassessment of an elderly patient receiving electroconvulsive therapy (ECT) for severe depression. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Laurence Newrick, Alister Gomes ‐Pinto, Jonathan Hewitt Tags: Case notes Source Type: research

Indecent exposure in chromosome 4q deletion syndrome
Chromosome 4q deletion syndrome is a rare genetic disorder1 associated with a number of conditions such as cardiac, craniofacial, digital, and cognitive impairment, although the rarity of this condition causes difficulty in establishing genotype‐phenotype correlations.2 The presented case is one of a 20 year old male with chromosome 4q deletion syndrome and a moderate learning disability. He was residing in an inpatient service following an increase in sexualised behaviours and reports of indecent exposure in front of children and members of the general public. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - May 31, 2017 Category: Neurology Authors: Amir Javaid, Manoj Narayan, Sarah Hodgkinson, Gary Green Tags: Case notes Source Type: research

Are culture ‐bound syndromes on the verge of extinction?
Exotic and enigmatic they may be, but culture‐bound syndromes could be disappearing from the medical lexicon, partly as a result of cultural boundaries becoming blurred by the march of the internet and mass media. Mark Greener explores some fascinating examples of culture‐bound syndromes and reasons why the terms might be falling into disuse. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Mark Greener Tags: News review Source Type: research

Autoimmune neuropsychiatric disorders associated with infection
There have been many observations of the relationship between infectious disease and behaviour changes such as the development of tics documented in medical literature over a long period of time. Paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) is a controversial diagnosis because it relies on linking a causal association between a common childhood illness with less common psychiatric symptoms. This case report describes a possible case of PANDAS in a young person, the course of treatment and its outcome. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Rachael Lawrence, Jonathan Baggott Tags: Case notes Source Type: research

Psychotic depression mimicking limbic encephalitis
Autoimmune encephalitis may present with prominent neuropsychiatric symptoms, and is increasingly considered in the differential diagnosis of patients with altered mental state. Here, the authors navigate the muddy waters between neurology and psychiatry, describing the caveats of antibody testing with a misdiagnosed case of psychotic depression. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Laurence Newrick, Alister Gomes ‐Pinto, Jonathan Hewitt Tags: Case notes Source Type: research

Psychiatric manifestations of toxocara
Psychiatric patients are more likely than the general population to be at risk from toxocara, due to behavioural and social disturbance. Here, the authors discuss a case that highlights that it is prudent to consider atypical pathogens in patients presenting with an un explained high eosinophil count, or if there has been a history of homelessness, farm work or contact with animals. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Samuel Lawton, Abhilasha Sharma Tags: Case notes Source Type: research

Diagnostic test accuracy of cognitive screeners in older people
Age is a key risk factor for cognitive impairment and dementia, although cognitive complaints may also occur in younger people. Here, the authors re‐analyse data from several pragmatic diagnostic test accuracy studies examining various short cognitive screening instruments (CSIs) in a secondary‐care, neurology‐led, cognitive disorders clinic and establish whether any CSI tests are more favourable in the older age group. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Alex Wojtowicz, Andrew J Larner Tags: Original Research Source Type: research

An evidenced ‐based strategy for timely delivery of clinical letters
In the UK, clinical letters are the most common way for doctors to communicate information about patients but no identified national standards exist on how soon non‐urgent clinical letters should be dispatched. Here, Dr Shankar and colleagues discuss their audit of time taken for GPs to receive a clinic letter and suggest ways for improving practice. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Eve Corson, Claire Hargreaves, Sarah Grimshaw, Joanna Wiggans, Sarah Mitchell, Ruth Toon, Claire Palmer, David Cox, Charlotte Pretorius, Ellen Wilkinson, Richard Laugharne, Rohit Shankar Tags: Original short report Source Type: research

Frequency of change of diagnoses in first ‐episode psychosis
Early diagnosis leading to relevant treatment and appropriate psychoeducation is crucial to the role of an early intervention in psychosis (EIP) team. However, diagnostic uncertainty in first‐episode psychosis in young people has to be acknowledged. Here, the authors examine the frequency with which diagnoses of psychotic disorders change between entry and exit from an EIP team and the practical implications for relevant psychoeducation. (Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - March 19, 2017 Category: Neurology Authors: Melanie Hobbs, Rachel Stanbrook, Nandini Chakraborty Tags: Original research Source Type: research

Rising cost of dementia care risks social care funding crisis
(Source: Progress in Neurology and Psychiatry)
Source: Progress in Neurology and Psychiatry - February 28, 2017 Category: Neurology Authors: Jane Ogden Tags: Comment Source Type: research