S Mujawar

Normal-pressure hydrocephalus (NPH) is characterized by a classic triad of symptoms namely urinary incontinence, dementia, and gait disturbances. It may present initially with psychiatric symptoms like depression, perceptual disturbances, anxiety, etc. This case report describes a 58-year-old male patient with alcohol dependence who presented with complaints of urinary incontinence, forgetfulness, imbalance while walking and standing, fearfulness, hearing of unreal voices along with sleep appetite impairment since 3-4 months. He was consuming alcohol since the last 20 years.  On examination, he was conscious, oriented to time and place. He had mild tremors. Vitals were stable. Mental status examination revealed patient was shabby, ill kempt, uncooperative, irritable, along with delusion of persecution and auditory hallucinations. Insight about his illness was impaired. MMSE score was 18. MRI suggested a disproportionate dilatation of the ventricular system as compared to the basal cisterns, sylvian fissures and cortical sulci. Careful examination of patients presenting with above symptoms is necessary for proper management of patients with NPH. Keywords: Normal pressure hydrocephalus, Psychosis, Psychiatric symptoms, Depression, Perceptual disturbances, Anxiety.

There is limited information and research studies from India regarding social adjustment among the caregivers of patient with schizophrenia and bipolar disorder. The study was carried out to assess and compare the social adjustment among the caregivers of patients with schizophrenia and bipolar disorder. The present study was conducted on OPD level at Ranchi Institute of Neuropsychiatry & Allied Science (RINPAS). In this cross-sectional study caregivers of 60 patient who gave consent for their participation in the study and satisfy the inclusion & exclusion criteria in the age group 20-50 years were selected. There were caregivers of 30 bipolar and 30 schizophrenia patients in the study sample. Tools administered were socio-demographic and clinical data sheet and social adjustment inventory. Caregivers of schizophrenia patients obtained statistically significantly lower scores on two areas of social adjustment i.e. emotional adjustment and social maturity compared to families of patients with Bipolar affective disorder. Caregivers of schizophrenia patients have significantly lower social adjustment as compared to families of bipolar affective disorder patients. Keywords: Social adjustment, Family, Schizophrenia, Bipolar affective disorder.

Job satisfaction and burnout has become a persistent and pervading feature of various corporate sectors. In present scenario, workers are found to be burnt-out and exhausted very soon and the reason for being exhausted is that they are over burdened and highly competitive. The aim of the present study was to compare the level of job satisfaction and burnout in various corporate sector professionals. This cross sectional, analytical study was carried out at Lucknow. By purposive sampling technique 120 subjects were included from various corporate sectors that met the inclusion and exclusion criteria and gave consent for the study. They were evaluated on General Health Questionnaire 12, Job Satisfaction Index and Copenhagen Burnout Inventory. Analysis of assessment tool results showed there was no significant difference in the level of job satisfaction and the degree of burnout, but trend was found in the area of work burnout by multiple comparisons of all groups with Post Hoc Test by Bonferroni Method. The findings of the present study suggest that the level of job satisfaction and the degree of burnout were almost similar in various corporate sectors. However, findings suggest a trend towards higher work burnout in professionals in Multinational Corporation in comparison to the Professionals in Public Sector Corporation. Keywords: Job satisfaction, Burnout, Public sector, Private sector, Multinational corporation.

Porencephaly is an extremely rare congenital disorder characterized by a cyst or a cavity filled with cerebrospinal fluid, in the brain’s parenchyma. An 18-year-old male with moderate intellectual disability presented with periodic unprovoked anger outbursts lasting 3-5 minutes of recent onset. Computed tomography of the head was done after the consultation and revealed a large porencephalic cyst in the left frontotemporal region. The patient responded well with tablet Clobazam 5mg BD and tablet Sodium Valproate 300mg BD. The condition is briefly discussed. Keywords: Porencephaly, Seizures, Psychosis.

A patient with tuberous sclerosis and attention deficit hyperactivity disorders is reported. He presented with generalized tonic-clonic seizures, skin lesions, restlessness, irritability, hyperactivity and impulsivity since 4 years. He had also developed hyperactivity and impulsivity for the past 2 years. Examination showed Shagreen patches and multiple hypomelanotic macules. MRI brain revealed multiple cortical tubers and sub-ependymal nodules. The condition is briefly discussed. Keywords: Tuberous sclerosis, Attention deficit hyperactivity disorder, Tuberous sclerosis associated neuropsychiatric disorders.