{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:33:48Z","timestamp":1755218028909,"version":"3.43.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Psychogenic nausea refers to nausea symptoms that are experienced outside of the context of obvious general medical pathology and presumably as a result of psychiatric etiology. Although this dichotomy between general medical and psychiatric pathology is somewhat dated according to the focus of the <jats:italic toggle=\"yes\">Diagnostic and Statistical Manual of Mental Disorders<\/jats:italic>, 5th Edition (DSM-5) Somatic Symptom Disorders, the psychogenic description of a medically unexplained symptom is still commonly used in the general medical vernacular. This case report involved a 74-year-old man who was presumed to have \u201cpsychogenic\u201d nausea symptoms after a negative medical workup. New tremulous symptoms were presumed to be secondary to a benzodiazepine taper. However, the presence of additional focal neurological deficits prompted a computed tomography of the patient\u2019s head, which revealed a subdural hematoma. Emergent neurosurgical evacuation and drainage relieved the patient\u2019s symptoms and proved to be a life-saving measure. Subdural hematomas are most commonly the result of traumatic tearing of the cortical bridging veins that overlie this subdural space. Subsequent mass effect and ischemia from venous bleeding can cause multiple symptoms, including nausea. This case highlights the importance of ensuring a broad differential for medically unexplained symptoms and close monitoring of symptomatic changes.<\/jats:p>","DOI":"10.1097\/pra.0000000000000572","type":"journal-article","created":{"date-parts":[[2021,9,16]],"date-time":"2021-09-16T14:01:33Z","timestamp":1631800893000},"page":"395-399","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Subdural Hematoma Presenting as Psychogenic Nausea"],"prefix":"10.1097","volume":"27","author":[{"given":"David C.","family":"Fipps","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabet","family":"Rainey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,9]]},"reference":[{"key":"R1-20250806","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1521\/psyc.2011.74.3.187","article-title":"Culture and conversion disorder: implications for DSM-5","volume":"74","author":"Brown","year":"2011","journal-title":"Psychiatry"},{"key":"R3-20250806","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/01.NURSE.0000531885.29772.ec","article-title":"Chronic subdural hematoma: a common complexity","volume":"48","author":"Vacca","year":"2018","journal-title":"Nursing"},{"key":"R4-20250806","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/BF01560563","article-title":"Prognosis after acute subdural or epidural haemorrhage","volume":"90","author":"Haselsberger","year":"1988","journal-title":"Acta Neurochir (Wien)"},{"key":"R5-20250806","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1007\/s00247-008-1084-6","article-title":"Anatomy and development of the meninges: implications for subdural collections and CSF circulation","volume":"39","author":"Mack","year":"2009","journal-title":"Pediatr Radiol"},{"key":"R6-20250806","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1097\/00006123-199610000-00011","article-title":"Computed tomographic criteria and survival rate for patients with acute subdural hematoma","volume":"39","author":"Zumkeller","year":"1996","journal-title":"Neurosurgery"},{"key":"R7-20250806","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1227\/00006123-199009000-00016","article-title":"Ischemic brain damage in a model of acute subdural hematoma","volume":"27","author":"Miller","year":"1990","journal-title":"Neurosurgery"},{"key":"R8-20250806","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1136\/jnnp.41.2.122","article-title":"Correlation between angiographic findings and the ischaemia of head injury","volume":"41","author":"Macpherson","year":"1978","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R9-20250806","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1080\/02688690050004525","article-title":"CT prognostic factors in acute subdural haematomas: the value of the \u2018worst\u2019 CT scan","volume":"14","author":"Servadei","year":"2000","journal-title":"Br J Neurosurg"},{"issue":"suppl","key":"R10-20250806","first-page":"S16","article-title":"Surgical management of acute subdural hematomas","volume":"58","author":"Bullock","year":"2006","journal-title":"Neurosurgery"},{"key":"R11-20250806","doi-asserted-by":"crossref","first-page":"13","DOI":"10.2176\/nmc.33.13","article-title":"Acute subdural hematoma: severity of injury, surgical intervention, and mortality","volume":"33","author":"Hatashita","year":"1993","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"R12-20250806","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.appet.2007.09.015","article-title":"Why is the neurobiology of nausea and vomiting so important?","volume":"50","author":"Horn","year":"2008","journal-title":"Appetite"},{"key":"R13-20250806","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.socec.2010.10.008","article-title":"A literature review of the anchoring effect","volume":"40","author":"Furnham","year":"2011","journal-title":"J Socio Econ"}],"container-title":["Journal of Psychiatric Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PRA.0000000000000572","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T01:07:34Z","timestamp":1754442454000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PRA.0000000000000572"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":12,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pra.0000000000000572","relation":{},"ISSN":["1538-1145"],"issn-type":[{"type":"electronic","value":"1538-1145"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}