Post Stroke Psychosis Following Lesions in Basal Ganglion

A 72-year-old female, house wife, living with her son and her daughter-in-law, presented with a history of sudden onset right sided hemiparesis one month prior to presentation. She was treated and later discharged from the medicine department. Later she presented in the Department of Psychiatry GTB Hospital with complaints of fear that somebody wanted to kill her. She was afraid of going outside alone or even with someone. She was not able to concentrate on her daily routine work and had decreased involvement in social activities. She would report seeing images which were not perceived by other people. There was no history of altered sensorium, fever, suicidal tendency or recurrent thoughts of death, emotional liability, obsession and compulsion, palpitations, impending doom, flight of ideas, grandiosity or drug abuse. There was no significant past history of any similar episode or of hypertension, diabetes, old stroke, coronary artery disease. History was given by the patient and information was corroborated with primary caregiver.