Diagnostic Dilemmas and Management Challenges of Organic Brain Syndrome with Psychiatric Semiology

Abstract

Background: Organic brain syndrome could resemble in a protean manner the psychopathology of different psychiatric disorders. Case Report: To share with the scientific community the challenges that professionals face when managing a complex case and also to shed some light on the interface between organic brain syndrome and it’s psychiatric and somatic sequelae as illustrated in this case report of a forty-year-old male patient. This case is of particular interest due to the inexplicable multiple somatic and psychiatric complaints that led to numerous hospital admissions and countless investigations. Conclusion: It presented significant clinical challenges to clinicians who have been involved in the management of this patient over the past thirty years. The quandary was in diagnosis and subsequently in treating a difficult to conclude about condition that can be traced back to this patient’s early childhood.