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Journal of Case Reports
Diagnostic Dilemmas and Management Challenges of Organic Brain Syndrome with Psychiatric Semiology
Mahmoud A. Awara1, Hamdy F. Moselhy2, Maryam S. Sirry3, Manal O. Elnenaei4 
1Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia Health Authority, Canada; 2Department of Psychiatry, Erada Centre for Treatment and Rehabilitation, Dubai, United Arab Emirates; 3Faculty of Medicine, Cairo, Egypt; 4Department of Pathology, Dalhousie University, Halifax, Nova Scotia, Canada.
Corresponding Author:
Dr. Mahmoud A. Awara
Email: mahmoud.awara@nshealth.ca
Received: 08-FEB-2017 Accepted: 08-APR-2017 Published Online: 30-APR-2017
DOI: http://dx.doi.org/10.17659/01.2017.0045
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. 
Keywords : Brain, Neurocognitive Disorders, Psychopathology, Psychotic Disorders.
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