Kronik tiner bağımlılığında erken başlangıçlı bilişsel yetersizlik, depresyon ve psikotik bozukluk: Olgu sunumu

Abstract

Chronic inhalant dependence with early onset cognitive impairment, depression and psychotic disorders: a case report Inhalant substance dependence is generally seen at 14-15 years of age and its prevalence decreases in adulthood. Inhalant use is common among disadvantaged groups, street children, people with history of crime, depression, suicide, antisocial attitudes, history of abuse, violence and any other drug dependence. Psychosocial factors are important in the beginning of inhalant dependence. Medical and neurological problems are frequently seen in chronic inhalant users. The duration of inhalant use is positively correlated with morbidity and mortality. In this report, medical and neuropsychiatric results of chronic inhalant dependence will be discussed. In our patient, chronic inhalant use caused central and peripheral neuropathy, cognitive impairment, depression, psychotic disorder, upper motor neuron type destruction in muscles and mild anemia. Neuropsychiatric destructive effects are prominent in chronic abuse. Mirtazapine and olanzapine treatment decreased depressive and psychotic symptoms, but cognitive impairment, neuropathy, upper motor neuron type destruction didn’t recover completely. Given serious and sometimes irreversible consequences of chronic inhalant dependence, early medical and psychosocial interventions seem very important.