Limbic encephalitis represents a cluster of autoimmune disorders, with inflammation in the medial temporal lobe characterised by subacute onset of neuropsychiatric symptoms such as anxiety, affective symptoms, psychosis, short-term memory impairment as well as faciobrachial and grand mal seizures. We aim to present a case of a 53-year-old man with positive anti–voltage-gated potassium channel (VGKC) complex antibodies who initially presented with symptoms of psychotic mania. Six weeks post-psychiatric symptomatology, he presented with neurological symptoms such as faciobrachial jerking and tonic-clonic seizure. The patient had no previous psychiatric history and was initially treated with psychotropic medications. Our experience emphasises the fact that limbic encephalitis is not easy to identify as most patients initially present with psychiatric symptomatology than neurological symptoms. Furthermore, immunological and laboratory testing takes a rather long time to determine the diagnosis. What is more, few psychiatrists consider autoimmune nature of the neuropsychiatric presentation. Therefore, it is important to consider autoimmune encephalitis in patients with new-onset psychosis or mania who also present with neurological symptoms at some stage of their illness. Characteristic indicators of autoimmune encephalitis include neurological symptoms such as facial twitching, seizures, confusion and cognitive decline.
IntroductionThe sexual abuse of children is well documented in literature. Data on it from Nigeria is rather sparse. The current study examines the prevalence and pattern of sexual abuse with a view to increasing our understanding of it.ObjectivesTo determine the prevalence and pattern of sexual abuse of children at home in Ilorin Nigeria.MethodsA cross sectional survey of secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CH questionnaire which covers child abuse in its several forms including sexual abuse. Prevalence of sexual abuse was computed.ResultsOver a third (586) of participants experienced some form of sexual abuse in the last year. Table 1: prevalence and pattern of sexual abuse at homeSexual Abuse* (n=586)FrequencyPercentageTalked to you in a sexual way42071.7Touched private parts33356.8Showed pornography14925.4Made you look at private parts13623.2Tried to have sex with you (unwilling)6110.4Made a sex video of you--ConclusionsSexual abuse of children occurs commonly in Ilorin Nigeria. There is a need for further research towards understnding it determinants towards strengthening systems of safeguarding children against it.DisclosureNo significant relationships.
IntroductionPhysical abuse of children in schools is common in Nigeria, but its prevalence and forms are yet to be clearly studied.ObjectivesTo determine the prevalence and pattern of physical abuse of children in Secondary Schools in Ilorin NigeriaMethodsCross sectional survey of secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CI questionnaire which covers child abuse in educational institutions. Prevalence and pattern of child abuse was computed.ResultsTable 1: Pattern of physical abuse in School in the last 12 monthsForm of abuseFrequencyPercentagePhysical Abuse* (n=1,554)Caused you pain151497.4Stay in cold/heat128582.7Hit you with fist71646.1Kneel in a way that hurts68644.1Slap on head as punishment66342.7Twist ear as punishment63540.9Kicked you47630.6Slap on your arm44828.8Throws object at you34722.3Crushed your finger as punishment23114.9Choked you22414.4Pulled your hair as punishment1167.5Starvation as punishment674.3Forced to do dangerous acts644.1Soap or pepper in mouth483.1Cut you with sharp object101.0Burnt as punishment--Put into hot or cold water--Tied with rope or belt--ConclusionsPhysical abuse of children is extremly commonplace in public secondary schools in Nigeria. it is neccessary to explore other ways of dealing with children in educational institutions.DisclosureNo significant relationships.
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