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Page Background

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S615

Head CT-SCAN revealed agenesia of CC. She received the diagnosis

ofManic Episodewithmixed features andwas treatedwith valproic

acid, flurazepam and olanzapine.

Conclusion

This case reinforces the fact that changes in CC,

probably due to deficiency in myelination, could have a crucial

importance in the pathophysiology of Bipolar Disorder.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1813

EV829

Relationship between corpus

callosum and anterior commeasure

size in brain MRI and human

intelligence

R. Zareii

1 ,

, A. Alaee

2

1

Shiraz, Iran

2

Mazandaran University of Medical Sciences, Department of

Radiology, Sari, Iran

Corresponding author.

Introduction and aims

After Parieto-frontal integration theory of

intelligence, a new area of investigations was began to examine

howperformance networks associatewith structural networks and

the results highlighted the role of brain commissures such as corpus

callosum (CC) and anterior commissure (AC) in intelligence. So we

investigated the relationship between CC and AC size, as the most

important interhemispheric commissure, and intelligence.

Methods and materials

Healthy volunteers who their MRI images

lack any pathological entity were chosen. Height, length and thick-

ness of CC and transverse, sagittal and superior-inferior diameter of

AC were acquired on a 1.5-tesla MRI and a T2-weighted sequences.

intelligence quotient(IQ) was measured using the Wechsler intel-

ligence quotient scale too.

Results

Our results showed that the length of the CC had a nega-

tive correlation and height of the CC had a positive correlation with

IQ. However, the thickness of genu, body and spleniumof CC did not

show any significant correlation with IQ. Superior-inferior diame-

ter of AC, before and after excluding the effect of age, and sagittal

diameter of AC only after excluding the effect of age, showed a sig-

nificant negative correlation with IQ but no significant correlation

was realized between the transverse diameter of AC and IQ.

Conclusions

Based on our findings, at an early age higher

intelligence of the men is because of stronger intrahemispheric

communication and with aging, it is due to interhemispheric

communications through CC. In contrast, it seems that higher intel-

ligence inwomen, resulting fromstronger interactions between the

hemispheres through both AC and CC.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1814

Obsessive-compulsive disorder

EV830

Co-morbid obsessive compulsive and

hypochondriac disorders complicated

by tardive dyskinesia in a Nigerian

man

C. Aghukwa

Bayero University Kano/Aminu Kano Teaching Hospital, Psychiatry,

Kano, Nigeria

Introduction

Obsessive-compulsive disorder is a group of disor-

ders with unwanted repetition of either mind or physical acts, or

both actsmanifesting in an insightful sufferer. The pharmacological

treatment of this group of disorders could lead to the use of more

than one class of drug with resulting negative consequences such

as tardive dyskinesia.

Objective

The objective was to report a case of obsessive-

compulsive disorder (OCD) with comorbid somatic symptoms that

was complicated by movement disorders.

Method

A literature search on related issues was done online

withGoogle Scholar, followed by a chronological report of the index

case.

Result

This case presents a 52-year-old man who presented with

intrusive, disturbing, and unreasonable thoughts at the mid ado-

lescent time. Following these were complaints of multiple somatic

symptoms, which the patient labeled with different disease terms.

The illness affected his academic, occupational, social, and mar-

ital role obligations. And lately, in the illness due to underlying

predispositions, developed drug-related movement problems that

worsened his state of handicap.

Conclusion

This case attempts to point out the importance

of early detection and cautious use of medications in patients,

who present with OCDs with or without other psychiatric co-

morbidities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1815

EV831

The nose – A case report of body

dysmorphic disorder and a literature

review

C. Agostinho

1 ,

, S. Henriques

2

, I. Coelho

2

1

Centro Hospitalar Psiquiátrico de Lisboa, Centro Hospitalar

Psiquiátrico de Lisboa, LRS Bobadela, Portugal

2

Centro Hospitalar Psiquiátrico de Lisboa, Centro Hospitalar

Psiquiátrico de Lisboa, Lisboa, Portugal

Corresponding author.

Introduction

Body Dysmophic Disorder (BDD) is relatively com-

mon disorder. Patientswith delusional beliefs seemto showgreater

morbidity (more suicidal attempts and drug abuse or dependence)

and less likelihood of receiving treatment.

Objectives and aims

In this study, we intended to report a case

of BDD followed in psychiatric consultation from 2 years ago, and

to make a review of the literature, namely presentation, treatment

and prognosis of BDD.

Methods

We conducted a description of a BDD case and a

research using “Body Dysmorphic Disorder” keywords on Pubmed.

Results

J.F., 45 years old, unemployed, living with his father,

referred to the Psychiatric consultation by his GP. The disorder

started in the adolescence with an excessive preoccupation with

hair loss and nose length, but in early adulthood these concerns

became more important. Around 30 years old he was followed in

Psychiatry but abandoned. Years later he underwent nose plas-

tic surgery. He tried underwent other nose surgeries, but was

refused. He was advised to look for psychiatric care. From the

initial observation I highlight the appearance (thin, with a wig,

adhesive tape connecting the tip of the nose to the forehead

pulling up the nose), delusional ideas regarding the appearance of

the nose, overvalued hypochondriac ideas, and no insight for the

disease. The patient was reluctant in taking psychotropic drugs.

He was referred to day hospital, which he attended with great

irregularity.

Conclusions

BDD is a disorder with poor prognosis, especially

when delusional variant is present, probably in relation to the lack

of insight.