Moyamoya disease (MMD) is a rare entity. It is a chronic cerebrovascular pathology characterized by stenosis and progressive occlusion of the termination of the carotid arteries. It is of reserved prognosis. Its diagnosis can be evoked on computerized tomography and magnetic resonance imaging (MRI) but is essentially based on arteriography. Its treatment must be early and essentially consists of revascularization surgery. We report the case of a patient admitted to the psychiatric emergency room for management of a behavioral disorder, mutism and auditory and visual hallucination, a cerebral MRI was performed urgently and the diagnosis of MMD was laid. Through this observation and a review of the literature, we discuss the characteristics of this rare condition, in particular the psychiatric comorbidity.
Introduction: The frequency of gastrointestinal manifestations in patients suffering with mood disorders, particularly bipolar disorders, pose specific physiopathological, etiological and therapeutic questions. We propose to address this issue through this clinical case. Clinical Case: We report here the case of a female patient 29-year-old, followed in psychiatry since 2014 for bipolar disorder type I and presenting an irritable colon syndrome, a biliary cyst, gastric diverticula and a chronic constipation. Discussion: Several hypotheses on the links between affectivity and gastrointestinal functioning are discussed in the light of the literature, explaining the role of the brain-gut axis as well as the involvement of the receptological profile of neuroleptics and also the role of the iatrogenicity of psychotropic drugs. Conclusion: There are definite links between affectivity and gastrointestinal manifestations. A better understanding of these links could enlighten us on the etiopathogeny of mood disorders, especially bipolar disorders, in order to guarantee a better management of psychiatric pathology as well as gastrointestinal manifestations.
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