Dr. Vishal Anilkumar Gandhi
Psychiatry
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Patient's Query
Hi doctor,
My father is 56 years old. He is having negative thoughts and talks about deaths, has a vivid dream with severe sleepiness. He is not enjoying anything which he enjoyed before. He has short-term memory loss. He has fatigue with increased appetite. He has little issue in breathing during sleeping. He can identify people. But, he is unable to remember what happened before five minutes. He is completely confused by his dreams and reality. These problems have started in my father after a traumatic event in which my father has lost his brother and two sons of his brother in an accident that happened before three months. He has a previous history of Bell's palsy, a little hearing loss, and was also diagnosed with a small lesion in the hypothalamus which is not cancerous. I want to know whether these traumatic events have played a part in these symptoms or its due to the lesion. The MRI of the brain shows the possibility of glioma. Please suggest.
Hi,
Welcome to icliniq.com.
Your father may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances. You can give him Sertraline 50 mg daily and Clonazepam 0.5 mg at night for the sleep. We need to re-evaluate him after 10 days and manage the dose. Your father has symptoms both due to the brain lesion and PTSD (family member loss). If your father starts to have psychotic symptoms due to gliomas, then you can give him a small dose of antipsychotic in the future.
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Psychiatry
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