SYMPOSIA

Bulletin of Clinical Psychopharmacology, Vol: 21, Supplement: 2, 2011 - www.psikofarmakoloji.org
Poster Presentations
that the cerebellum has a role in the general dyscoordination of sensorimotor and mental processes which are seen in schizophrenic patients.
The following observations demonstrating the involvement of the cerebellum are determined in studies of schizophrenic patients: high
prevalence of neurological soft signs, dyscoordination, abnormal posture, balance problems, impaired eye blink conditioning and impaired
adaptation of the vestibular-ocular reflex. Abnormal cerebellar activations have been showed in functional imaging studies. In the context of
this case, the relationship of schizophrenia with cerebellar anomalies was reviewed.
Key words: Schizophrenia, mega cisterna magna, cerebellum, brain imaging methods
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S194-5
[PP-118] Ref. No: 263
Congenital hypogonadism and comorbid anorexia nervosa in a male patient:
A case report
Mustafa Özten, Atila Erol
Department of Psychiatry, Sakarya University, Sakarya, Turkey
E-mail: drozten@yahoo.com
Male hypogonadism results from a failure of the testes to produce adequate androgen. Patients have low circulating testesterone in
combination with clinical symptoms such as osteopenia, increased adiposity, decreased muscle mass, decline in energy and stamina,
decreased cognitive function, decreased libido and erectile dysfunction. The cause may be primary (genetic anomaly) or secondary (defect in
hypothalamus or pituitary), but often presents with the same symptomatology. Hypogonadal patients who are both symptomatic and who
have clinically significant alterations in laboratory values are candidates for treatment. Testosterone replacement therapy is widely applied.
The prevalence of eating disorders in men as compared to women is less than ten times and also shows differences in the course of the
disease and the causes of its appearance. Social, genetic, psychological factors, personality traits and a history of trauma are considered to
play a role in the development of anorexia nervosa (AN). In addition, steroid hormones affect the development of eating disorders and eating
behavior. Homosexuality, asexuality and sexual role disorders are known to be more common in male patients with AN. AN is associated
with notable medical complications and affects many systems like a general medical disease. One of the systems that is affected by AN is
the genitourinary system; hypogonadism is one of the known complications of AN. Endocrine abnormalities such as hypogonadotropic
hypogonadism mediate some of the clinical manifestations. Most of the endocrine changes that occur in AN are physiological adaptations
to starvation and are usually reversible with weight gain. Prolonged AN or cachexia can cause hypogonadism. In this article we report a
man, who had suffered from hypogonadism since infancy with no treatment and developed AN at age 18. Congenital hypogonadism with
comorbid AN is a rare illness. As a result of the interaction of hypogonadism with anorexia nervosa the patient developed a sexual identity
crisis, which is important in its clinical and theoretical aspects, since he suffered from delayed puberty, no secondary sexual characteristics,
and no ejaculation or erection although he was 22 years old. Up to now only one case from Japan is reported in the literature with congenital
hypogonadism and anorexia nervosa. Hypogonadism with comorbid anorexia nervosa has not been listed as a case in the Turkish indices yet.
Key words: Anorexia nervosa, congenital hypogonadism, male patient
Bulletin of Clinical Psychopharmacology 2011;21(Suppl. 2):S195
[PP-119] Ref. No: 275
Review of diagnosis and treatment of pregnant psychiatric patients in a state hospital
Kader Semra Karataş, Jülide Güler, Aytül Hariri
Erenkoy Mental and Nervous Diseases Training and Research Hospital, Department of Psychiatry, İstanbul, Turkey
E-mail: drsemraocak@yahoo.com
Background: Because of the physiological changes during pregnancy there are changes of pharmacokinetic and pharmacodynamic
characteristics, and there are differences in the treatment of psychiatric disorders in this period.
Objective: The aim of this study was to evaluate the sociodemographical features, diagnoses, and treatments of 20 pregnant psychiatric
inpatients that were hospitalized between August 2010 and August 2011.
Method: The sociodemographical features, diagnoses, and treatments of the patients were evaluated retrospectively.
Results: The percentages of diagnoses of the patients were as follows: schizophrenia 27.3%, bipolar affective disorder manic episode
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