Past NEURopsychiatric (neuron) CME
19 November 2025 (Virtual)
Title: Disinhibited and Mismatch
Presenter: Dr Kenny ak Tinggi
Supervisor: Dr Chhoa Keng Hong
Attendees: Dr Chee Kok Yoon (Neuropsychiatrist, HKL), Dr Ting Soo Hui (Radiologist, SGH), Dr Kamalia binti Kamarulzaman & Dr Lukman (Nuclear Medicine Physicians, HKL), Neuropsychiatrists, fellows and trainees from HKL, HRPB, HSNZ and Permai Hospital, psychiatry trainees and MOs from SGH.
Synopsis:
A case study of a patient presented with clinical symptoms resembling frontal lobe dysfunction in the absence of obvious neurological deficits had a relatively normal structural MRI brain in which later diagnosis was anchored for early onset bvFTD as supportive features shown in FDG-PET imaging. A clinical scenario showcasing the importance of understanding clinical symptoms presentation, neurocognitive domains representation and structural and functional neuroimaging profiling for consideration of concordance upon diagnostic conundrum.
10 September 2025 (Virtual)
Title: Awake and Aware
Presenter: Dr. Chong Siew Koon
Supervisor: Dr. Chee Kok Yoon
Attendees: Neuropsychiatrists and doctors from HKL and other hospitals
Synopsis:
This presentation explores the vital role of neuropsychiatrists in the evaluation and intraoperative management of patients undergoing awake craniotomy for tumors situated in eloquent regions of the brain. It highlights the multidisciplinary approach required to balance neurological preservation with psychological readiness during surgery.
10 September 2025 (Virtual)
Title: A Tale in Two Cities - An exploration of idiopathic Parkinson's disease with functional Parkinsonism
Presenter: Dr. Chee Jiunn Heng
Supervisor: Dr. Mohammad Nabhan Khalil
Attendees: Dr. Chee Kok Yoon, Dr Chhoa Keng Hong, doctors and trainees from HSNZ, HKL, HRPB, Hospital Permai
Synopsis:
A case study of a person who presented with Parkinsonian symptoms and severe fatigue. The presentation explores the nuances between 'true' symptoms of Parkinson's disease and features of functional Parkinsonism. Further discussions were made regarding the challenges in teasing apart these symptoms, and neuropsychiatric management of cases which traverses organic and functional realms.
25 August 2025 (Virtual)
Title: Untie the Hand of a Misunderstood Man
Presenter: Dr Darren Jong
Supervisor: Dr Chhoa Keng Hong
Attendees: Neuropsychiatrist and Neurologist from SGH, General Psychiatrists, Postgraduate trainees and Medical Officers from Sarawak hospitals, Neuropsychiatrists from HKL, HRPB, HSNZ and Permai Hospital
Synopsis:
A man who always tied up his hands was misdiagnosed to have epilepsy had been treated with antipsychotics and antiepileptics without symptomatic remission. This intriguing case dwelled into the essentials and pearls of psychopathology in functional psychosis and psychotic features in epilepsy and highlighted the importance of collaboration between neuropsychiatry and neurology in diagnostic clarification and harm reduction for complex epilepsy case.
8 August 2025 (Virtual)
Title: A Case of FND... or is it?
Presenter: Dr. Afiq Fikri bin Azmi
Supervisor: Dr. Chee Kok Yoon
Attendees: Neuropsychiatrists and doctors from HKL, SGH, HRPB and Permai hospital.
Synopsis:
A case presenting primarily with nonspecific generalised pain throughout the body and functional tremors, coloured by underlying borderline personality disorder.
1 August 2025 (Virtual)
Title: Huntington’s Disease with both motor and neuropsychiatric manifestations( Major neurocognitive disorder and anxiety)
Presenter: Dr. Jamaline Chong
Supervisor: Dr. Nor Fadhlina binti Misron
Attendees: Neuropsychiatrists, Movement disorder neurologist , nuclear medicine physician from HKL, HRPB, SGH, HSNZ
Synopsis:
Case presentation of a middle age lady who was referred to Neuropsychiatry TRO functional movement disorder. This case highlights the importance and advances of collaborative care between movement disorder specialist, Neuroradiologist, nuclear medicine specialist in aiding the confirmation of diagnosis of a neurodegenerative movement disorder with atypical choreic movements.
25 July 2025 (Hybrid)
Title: Drug Induced Parkinsonism vs Idiopathic Parkinson's Disease
Presenter: Dr. Lashini A/P Indrarajah (HRPB)
Supervisor: Dr. Chin Han Lim
Attendees: Dr. Chee Kok Yoon, Dr. Ahmad Shahir Mawardi & Dr. Chin Mann Leon (movement disorder neurologists), Dr. Kamalia binti Kamarulzaman & Dr. Lukman (nuclear medicine physicians, HKL), and others from different hospitals e.g., HRPB, HBUK, Permai Hospital, SGH, HKL etc.
Synopsis:
This CME presents two case studies of patients with schizophrenia on multiple antipsychotics. The parkinsonism observed was initially presumed to be iatrogenic; however, the Tc-99m TRODAT-1 SPECT scan scan proved useful in distinguishing drug-induced parkinsonism (DIP) from idiopathic Parkinson’s disease (iPD). Clinically, differentiating between the two conditions can be challenging.
9 July 2025 (Virtual)
Title: Lost Between Seizures and Self: A Case of Severe Neurocognitive Decline After TBI
Presenter: Dr. Nur Syamimi Binti Che Md Azim
Supervisor: Dr. Mohammad Nabhan Khalil Bin Azizan
Attendees: Neuropsychiatrists, fellows Neuropsychiatrist & trainee AOI, and doctors from HKL
Synopsis:
A 33-year-old man with long-standing untreated post-traumatic epilepsy presented with a week of severe behavioural disturbance, including agitation, destructive behaviour, hallucination-like symptoms, and marked disorganization. This occurred on top of years of progressive cognitive decline following untreated Epilepsy post-TBIs. During admission, he remained confused and difficult to manage despite medications, which made the possibility of non-convulsive seizure activity of the differential. Nevertheless, with optimization of ASM, condition remain the same. Thus, decision for ECT made and led to significant behavioural improvement, though his cognitive deficits persisted. The case underscores the complex overlap between chronic untreated epilepsy following TBI and neurocognitive decline, and severe neuropsychiatric symptoms as well as the role of ECT as an adjunct when behavioural disturbances become unmanageable.
24 April 2025 (Virtual)
Title: The Anxious and Impulsive Chameleon
Presenter: Dr Lee Huey Fern
Supervisor: Dr Chhoa Keng Hong
Attendees: Neuropsychiatrist and Neurologists from SGH, General Psychiatrists, Postgraduate trainees and Medical Officers from Sarawak hospitals, Neuropsychiatrists from HKL, HRPB, HSNZ and Permai Hospital
Synopsis: This case presentation illustrates the importance of contribution of premorbid personality of a PD patient in conceptualization of Zolpidem Use Disorder and subsequently contributing to the occurrence of Dopamine Dysregulation Syndrome after commencement of Levodopa therapy whom initially presented with prominent anxiety and depressive features.
19 January 2025 (Virtual)
Title: Catch Me if You Can!
Presenter: Dr Gue Kay Lin, Dr Fong Chun Sien
Supervisor: Dr Chhoa Keng Hong
Attendees: Neuropsychiatrist, O&G Specialist, Dermatologist, Gastroenterologist and Respiratory Physician from SGH, General Psychiatrists, Postgraduate trainees and Medical Officers from Sarawak hospitals, Neuropsychiatrists from HKL, HRPB, HSNZ and Permai Hospital
Synopsis: This is a case narrative of a very interesting lady who initially presented with depression but the inconsistency and incongruency of her symptoms raised the suspiciousness for element of functional neurological disorder. A truly multidisciplinary case discussion with the concept of "drain the symptoms dry" in teasing out the gist and essence of a complex multisystem involvement presentation of a "software" problem. This case shone the lights onto the significance of clinical hypervigilance as well as the judicious use of clinical questionnaires during the clinical assessment.