Bir ergende travmatik beyin hasarına bağlı akatizi

Abstract

Introduction Akathisia is a clinical condition with subjective complaints such as restlessness, mental unease, an urge to move or dysphoria. It is usually caused by basal ganglion diseases and medication. But rarely it may also occur due to traumatic brain injury (TBI). In this case report, a 17 years old patient was discussed, who developed akathisia after TBI and had no neuropsychiatric disorder history. Case The patient was admitted to the child and adolescent psychiatry clinic with constant complaints of motor restlessness. Three weeks ago he was hospitalized with multiple fractures, subarachnoid and epidural hemorrhage, cerebral edema after a car accident. Risperidone 0,5mg/day treatment started for agitation. Two days later symptoms got worsened, consequently risperidone treatment was changed to propranolol 60mg and lorazepam 7,5 mg daily, following the change of diagnosis to akathisia caused by TBI. There was a significant improvement in akathisia symptoms in days. Akathisia treatment was stopped at the end of three weeks without symptoms. Conclusion Akathisia caused by TBI is an important clinical condition that affects the treatment and the rehabilitation negatively, which also can be misdiagnosed as agitation or delirium. Thus it should be kept in my mind for differential diagnosis and its treatment should not be delayed