No abstract

The available evidence points to the effectiveness of clozapine as monotherapy and in combination with clonazepam for the treatment of TDt. When clozapine is not an option, olanzapine and quetiapine are reasonable alternatives. Given the lack of controlled trials, future focus should be on conducting randomized, placebo-controlled, multicenter, collaborative controlled clinical trials of several years' duration.

No abstract

A patient with chronic schizophrenia who had visual hallucinations of lilliputian nature is described. The authors review the studies on prevalence of visual hallucinations in schizophrenic patients and suggest that visual hallucinations may be more common in schizophrenia than previously acknowledged. The authors suggest a routine enquiry about visual hallucination in clinical practice and emphasize the need for further research under controlled conditions.

Delusions of pregnancy in males are bizarre delusions that are rare in occurrence. Variables in characterization of such delusions include organic factors, neuroendocrine abnormalities, sexual identity confusion, misinterpretation of mechanical factors, and wishes for another baby. In this report we describe a persistent delusion of pregnancy in a 43-year-old man with chronic schizophrenia in the background of poor sexual adjustment.