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Surgical procedures and postoperative cognitive dysfunction
Postoperative cognitive dysfunction is a serious side effect of surgery with the potential to affect the long-term wellbeing of patients. Here the authors discuss the risk factors and possible aetiology of the disorder.
Anand Beri 

Indecent exposure in chromosome 4q deletion syndrome
(click here for full web article) 
Chromosome 4q deletion syndrome is a rare genetic disorder associated with a number of conditions such as cardiac, craniofacial, digital, and cognitive impairment, although the rarity of this condition causes difficulty in establishing genotypephenotype correlations. 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.
Amir Javaid, Manoj Narayan, Sarah Hodgkinson, Gary Green

Frontotemporal dementia presenting as severe depression
Frontotemporal dementia 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 for severe depression.
Laurence Newrick, Alister Gomes-Pinto, Jonathan Hewitt

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.
Alex Wojtowicz, Jonathan M Schott, Andrew J Larner

Patients’ experiences of and attitudes towards ECT
(click here for full web article)
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.
Latha Guruvaiah, Karthikeyan Veerasamy, Muhammad Naveed, Swami Kudlur, Farah Chaudary, Ann Paraiso

Personality disorders in older adults: diagnosis and management
(click here for full web article)
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.
Saba Mattar, Farooq Khan

16th Latest Advances in Psychiatry Symposium: 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.
Steve Titmarsh

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.
Mark Greener

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