title: A schizophrenic patient with cerebral infarctions after hemorrhagic shock.
abstract: We herein report the fourth case of cerebral infarction, concomitant with hemorrhagic shock, in English literature. A 33-year-old male, who had been diagnosed with schizophrenia and given a prescription for Olanzapine, was discovered with multiple self-inflicted bleeding cuts on his wrist. On arrival, he was in hemorrhagic shock without verbal responsiveness, but his vital signs were normalized following infusion of Lactate Ringer's solution. The neuroradiological studies revealed multiple cerebral ischemic lesions without any vascular abnormality. He was diagnosed with speech apraxia, motor aphasia, and dysgraphia, due to multiple cerebral infarctions. As there was no obvious causative factor with regard to the occurrence of cerebral infarction in the patient, the hypoperfusion due to hemorrhagic shock, and the thromboembolic tendency due to Olanzapine, might have acted together to lead to the patient's cerebral ischemia.
authors.affiliation: Department of Emergency Medicine and Disaster Medicine, Juntendo University, Tokyo113-8431, Japan.
authors.forename: Youichi
authors.initials: Y
authors.lastname: Yanagawa
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Ohara
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Ryota
authors.initials: R
authors.lastname: Tanaka
keywords: Cerebral infarction; hemorrhagic shock; schizophrenia