Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates

Amir Mufaddel; Ghanem Al Hassani; Shakhboot Al Bedwawi; Ossama Osman

doi:doi:10.11648/j.ajpn.20190704.19

| Peer-Reviewed

Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates

Amir Mufaddel, Ghanem Al Hassani, Shakhboot Al Bedwawi, Ossama Osman

Published in American Journal of Psychiatry and Neuroscience (Volume 7, Issue 4)

Received: 5 December 2019 Accepted: 18 December 2019 Published: 30 December 2019

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

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.

Published in	American Journal of Psychiatry and Neuroscience (Volume 7, Issue 4)
DOI	10.11648/j.ajpn.20190704.19
Page(s)	147-152
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Radiologic Findings, Psychiatric Patients, Brain Sites, Calcifications

References

[1]	Abiodun OA. Role of radiology in psychiatry: a review. East Afr Med J. 2005; 82 (5): 260-6.
[2]	Bunevicius A, Deltuva VP, Deltuviene D, Tamasauskas A, Bunevicius R. Brain lesions manifesting as psychiatric disorders: eight cases. CNS Spectrum. 2008; 13: 950–958.
[3]	Masdeu JC. Neuroimaging in psychiatric disorders. Neurotherapeutics. 2011: 8 (1): 93-102. doi: 10.1007/s13311-010-0006-0. PMID: 21274689; PMCID: PMC3052989.
[4]	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.
[5]	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.
[6]	McGuire P. Brain imaging and transition to psychosis. Encephale. 2010; 36 Suppl 3: S66–S70.
[7]	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.
[8]	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.
[9]	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.
[10]	Ricardo Coentre, Amilcar Silva-dos-Santos, Miguel Cotrim Talina. Retrospective study on structural neuroimaging in first-episode psychosis. PeerJ. 2016; 4: e2069.
[11]	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.
[12]	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).
[13]	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.
[14]	Mufaddel A, Omer AA, Salem MO. Psychiatric Aspects of Infectious Diseases. OJP 2014, 4, 202-217. doi: 10.4236/ojpsych.2014.43027.
[15]	Mufaddel A, Alhassani G. Familial Idiopathic basal ganglia calcification (Fahr’s disease), Neurosciences, 2014: 19 (3), 171.

Cite This Article

Plain Text BibTeX RIS

APA Style

Amir Mufaddel, Ghanem Al Hassani, Shakhboot Al Bedwawi, Ossama Osman. (2019). Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates. American Journal of Psychiatry and Neuroscience, 7(4), 147-152. https://doi.org/10.11648/j.ajpn.20190704.19

Copy | Download

ACS Style

Amir Mufaddel; Ghanem Al Hassani; Shakhboot Al Bedwawi; Ossama Osman. Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates. Am. J. Psychiatry Neurosci. 2019, 7(4), 147-152. doi: 10.11648/j.ajpn.20190704.19

Copy | Download

AMA Style

Amir Mufaddel, Ghanem Al Hassani, Shakhboot Al Bedwawi, Ossama Osman. Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates. Am J Psychiatry Neurosci. 2019;7(4):147-152. doi: 10.11648/j.ajpn.20190704.19

Copy | Download

@article{10.11648/j.ajpn.20190704.19,
  author = {Amir Mufaddel and Ghanem Al Hassani and Shakhboot Al Bedwawi and Ossama Osman},
  title = {Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {7},
  number = {4},
  pages = {147-152},
  doi = {10.11648/j.ajpn.20190704.19},
  url = {https://doi.org/10.11648/j.ajpn.20190704.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20190704.19},
  abstract = {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.},
 year = {2019}
}

Copy | Download

TY - JOUR
T1 - Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates
AU - Amir Mufaddel
AU - Ghanem Al Hassani
AU - Shakhboot Al Bedwawi
AU - Ossama Osman
Y1 - 2019/12/30
PY - 2019
N1 - https://doi.org/10.11648/j.ajpn.20190704.19
DO - 10.11648/j.ajpn.20190704.19
T2 - American Journal of Psychiatry and Neuroscience
JF - American Journal of Psychiatry and Neuroscience
JO - American Journal of Psychiatry and Neuroscience
SP - 147
EP - 152
PB - Science Publishing Group
SN - 2330-426X
UR - https://doi.org/10.11648/j.ajpn.20190704.19
AB - 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.
VL - 7
IS - 4
ER -

Copy | Download

Author Information

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

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Amir Mufaddel, Ghanem Al Hassani, Shakhboot Al Bedwawi, Ossama Osman. (2019). Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates. American Journal of Psychiatry and Neuroscience, 7(4), 147-152. https://doi.org/10.11648/j.ajpn.20190704.19

Copy | Download

ACS Style

Amir Mufaddel; Ghanem Al Hassani; Shakhboot Al Bedwawi; Ossama Osman. Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates. Am. J. Psychiatry Neurosci. 2019, 7(4), 147-152. doi: 10.11648/j.ajpn.20190704.19

Copy | Download

AMA Style

Amir Mufaddel, Ghanem Al Hassani, Shakhboot Al Bedwawi, Ossama Osman. Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates. Am J Psychiatry Neurosci. 2019;7(4):147-152. doi: 10.11648/j.ajpn.20190704.19

Copy | Download

@article{10.11648/j.ajpn.20190704.19,
  author = {Amir Mufaddel and Ghanem Al Hassani and Shakhboot Al Bedwawi and Ossama Osman},
  title = {Prevalence of Radiological Abnormalities Among Psychiatric Inpatients: A Study from the United Arab Emirates},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {7},
  number = {4},
  pages = {147-152},
  doi = {10.11648/j.ajpn.20190704.19},
  url = {https://doi.org/10.11648/j.ajpn.20190704.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20190704.19},
  abstract = {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.},
 year = {2019}
}

Copy | Download