Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates
American Journal of Psychiatry and Neuroscience
Volume 7, Issue 4, December 2019, Pages: 147-152
Received: Dec. 5, 2019;
Accepted: Dec. 18, 2019;
Published: Dec. 30, 2019
Views 83 Downloads 53
Amir Mufaddel, Department of Medicine, Psychiatry Ivision, Tawam Hospital, Al Ain, Nited Arab Emirates
Ghanem Al Hassani, Al Ain Hospital, Al Ain, Nited Arab Emirates
Shakhboot Al Bedwawi, Al Ain Hospital, Al Ain, Nited Arab Emirates
Ossama Osman, Department of Psychiatry and Behavioural Sciences, College of Medicine and Health Sciences, United Arab Emirates University, Alain, United Arab Emirates
Follow on us
Background: This is a cross sectional retrospective study aimed to estimate the prevalence of brain aberrations visible on computed tomography (CT) scan or magnetic resonance imaging (MRI) in psychiatric patients admitted to the main tertiary hospital of Alain city in the United Arab Emirates. Methods: Between January 2011 and December 2013, 1,586 patients were admitted study of patients admitted to the psychiatric ward in Al Ain Hospital. Head CT or brain MRI was requested for 295 (19%) patients. Results: Ninety-four (31.8%) of the 295 patients had abnormalities on the CT or MRI. The most common finding was calcification, detected in 21 (22.3%) patients. The most common site of calcification was the basal ganglia (15 patients, or 16%). Multiple site involvements were also common (16 patients, or 17%). Other types of brain abnormalities included evolutionary changes (dilated ventricles, atrophy and prominent sulci) reported in 13 patients which represent 4.4% of the total sample and 13.8% of those with positive findings. Similar number was reported for patients with findings of vascular lesions (ischemic changes / infarction). Basal ganglia was the most common site of reported involvement occurring in 19 subjects and representing 6.4% of the total sample and 20.2% of those with positive findings. Common age at presentation with positive findings was 30-39y. Conclusions: Radiological abnormalities are common among psychiatric inpatients. Future studies are needed to identify the potential significance of these findings and correlate them with patient’s psychopathology.
Radiologic Findings, Psychiatric Patients, Brain Sites, Calcifications
To cite this article
Ghanem Al Hassani,
Shakhboot Al Bedwawi,
Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates, American Journal of Psychiatry and Neuroscience.
Vol. 7, No. 4,
2019, pp. 147-152.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abiodun OA. Role of radiology in psychiatry: a review. East Afr Med J. 2005; 82 (5): 260-6.
Bunevicius A, Deltuva VP, Deltuviene D, Tamasauskas A, Bunevicius R. Brain lesions manifesting as psychiatric disorders: eight cases. CNS Spectrum. 2008; 13: 950–958.
Masdeu JC. Neuroimaging in psychiatric disorders. Neurotherapeutics. 2011: 8 (1): 93-102. doi: 10.1007/s13311-010-0006-0. PMID: 21274689; PMCID: PMC3052989.
Goulet K, Deschamps B, Evoy F, Trudel J-F. Use of brain imaging (computed tomography and magnetic resonance imaging) in first-episode psychosis: review and retrospective study. Canadian Journal of Psychiatry. 2009; 54: 493–501.
Lubman DI, Velakoulis D, McGorry PD, Smith DJ, Brewer W, Stuart G, Desmond P, Tress B, Pantelis C. Incidental radiological findings on brain magnetic resonance imaging were also reported in first-episode psychosis and chronic schizophrenia. Acta Psychiatrica Scandinavica. 2002; 106: 331–336.
McGuire P. Brain imaging and transition to psychosis. Encephale. 2010; 36 Suppl 3: S66–S70.
S J Borgwardt, E-W Radue, K Götz, J Aston, M Drewe, U Gschwandtner, S Haller, M Pflüger, R-D Stieglitz, P K McGuire, and A Riecher-Rössler. Radiological findings in individuals at high risk of psychosis. J Neurol Neurosurg Psychiatry. 2006; 77 (2): 229–233.
Pantelis C, Velakoulis D, McGorry P D. et al Neuroanatomical abnormalities before and after onset of psychosis: a cross-sectional and longitudinal MRI comparison. Lancet 2003361281–288.
Mufaddel A A, Osman OT, Al-Hassani G, Al-Bedwawi S, Hashim MJ. Basal Ganglia Calcification in Psychiatric Inpatients: A Case-Control Study. Cogn Behav Neurol. 2016 Sep; 29 (3): 139-43.
Ricardo Coentre, Amilcar Silva-dos-Santos, Miguel Cotrim Talina. Retrospective study on structural neuroimaging in first-episode psychosis. PeerJ. 2016; 4: e2069.
Gupta DK, Suthar N, Singh V, et al. Frequency and pattern of radiological and laboratory investigations in patients with mental illnesses: A study from North Rajasthan. Indian J Psychiatry 2016; 58 (2): 183-9.
Agarwal N, John D, Bazzocchi M, Renshaw PF. Update on the Use of MR for Assessment and Diagnosis of Psychiatric Diseases. Radiology 2010; 255: 1 (23-40).
Mufaddel A, AlSabousi M, Saleh B, Alhassani G, Osman OT. A Case of Gorlin-Goltz Syndrome Presented with Psychiatric Features. Behavioural Neurology. 2014; 10.3233/BEN-130355.
Mufaddel A, Omer AA, Salem MO. Psychiatric Aspects of Infectious Diseases. OJP 2014, 4, 202-217. doi: 10.4236/ojpsych.2014.43027.
Mufaddel A, Alhassani G. Familial Idiopathic basal ganglia calcification (Fahr’s disease), Neurosciences, 2014: 19 (3), 171.