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Dementia 2016
September 29-October 01, 2016
Volume 6 Issue 5(Suppl) J Alzheimers Dis Parkinsonism 2016
ISSN:2161-0460 JADP, an open access journal
conferenceseries .com
September 29-October 01, 2016 London, UK
5th International Conference on
Alzheimer’s Disease & Dementia
Ahmed M Lutfi Al-Imam, J Alzheimers Dis Parkinsonism 2016, 6:5(Suppl)
A case report of delirium superimposed on dementia, in an elderly female patient with venous
thrombosis of the leg
Ahmed M Lutfi Al-Imam
University of Baghdad, Iraq
This is a challenging case of an elderly female patient, 86 years old, that has been diagnosed with delirium superimposed
on depression (DSD). This frustrated patient developed DSD in parallel with venous thrombosis (VT) of her right leg.
Venous thrombosis was initially superficial, affecting the Great Saphenous Vein (GSV), that later progressed into Deep
Venous Thrombosis (DVT), which was confirmed by radiology (Doppler study) and laboratory investigations (D-dimer level
assessment).
The therapeutic approach for such patient, was literally a dilemma, and the situation was distressing to the patient,
medical and paramedical staff, and the caregivers. The patient had stopped accepting food, and she had a refractory insomnia.
Additionally, the patient became frequently hyperactive throughout the day in association with frequent delirium attacks. Her
hyperactivity was difficult to control, despite her leg condition (DVT), that requires immobilization to prevent a superimposed
catastrophic thromboembolic episode(s). Luckily, a pulmonary embolism did not happen.
The patient refused/resisted diagnostic and therapeutic interventions, and third party consultations. However, a
multidisciplinary approach was mandatory, and the core issue was the DSD. Eventually, the DSD was eventually successfully
corrected with an adjusted dose of Haloperidol, a high potency first generation antipsychotic. After few days on Haloperidol,
the patient became cooperative with caregivers, acceptant to therapeutic interventions, and hospitalization. Her medical and
surgical complications were successfully managed. Finally, the patient was scheduled later, for reconstructive surgery, using
mesh skin grafting under regional anesthesia, to cure her subsequent refractory venous leg ulcer.
Biography
Ahmed Al-Imam, is a 32-years old medical doctor and a Dermatologist from Iraq. He finished his MSc (Dermatology) in the UK. Currently, he works as a lecturer at
the faculty of Medicine, University of Baghdad. He has teaching experience in the fields of Human Anatomy, Surgical Pathology, and tissue processing. His research
interests include Novel Psychoactive Substances, skin and hair disorders, and biomedical applications. His doctorate thesis (PhD in Medicine) at the University
of Hertfordshire, will deploy comprehensive mapping of the Dark Web, in relation to the Performance and Image Enhancing Drugs (PIEDs). His latest invention
patency, was on Intermittent Pneumatic Compression (IPC) devices, for management of bed-ridden and elderly patients, with chronic venous insufficiency.