Extensive frontal grey matter volume reduction related to a possible sequelae of encephalitis
Ceylan, Mehmet Emin
Onen Unsalver, Baris
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A 39-year-old man was brought to the psychiatry clinic by his relatives. According to them, the man’s mental and motor development was normal until the age of 2 years, at which time he had a febrile illness with convulsions and was unconscious for 1 week. He had no rush, or other systemic signs. As he was living in a remote village, he could not be taken to a hospital, and so did not receive treatment or diagnosis. After the illness, he could not walk until he was 5 years old He could not speak, and only made meaningless sounds. At presentation, he was wandering around the examination room in a disinhibited way. His self-care was lacking. His hands and fingernails were dirty. There were selfdestructive scars on the back of his hands.