After further evaluation on December 20, 2016, his clinical situation was described as a confused mind status, slowdown gait, and bradypsychia
. Another cranium CT was performed which revealed gliosis area, centered midline, ectasia of the ventricles, and zygomatic arch fracture.
At 27 years old the patient's psychiatric examination revealed: cognitive function hyperesthesia associated with irritability and irascibility, complex auditive hallucinations with appellative and commentative analytic character ("a voice says that I am going to die"), moderate global hypoprosexia and hypomnesia, decreased and adhesive ideatic rhythm, moderate bradypsychia
, decreased imagination.
This patients has some psychic disturbances- the patient is selfish, with increased irritability bradypsychia
and Dementia appears later.
Communication is relatively difficult, because of his bradypsychia
and a lower level of intelligence.