RT Journal Article SR Electronic T1 Carotid endarterectomy for symptomatic carotid artery stenosis in a patient who presented with psychosis JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e242457 DO 10.1136/bcr-2021-242457 VO 15 IS 4 A1 Hassanin, Ahmed A1 Ramsamaroo, Zachary A1 Barry, Mary A1 Cassidy, Tim YR 2022 UL http://casereports.bmj.com/content/15/4/e242457.abstract AB Acute psychosis is an unusual presentation of stroke particularly in a patient with no history of psychiatric illness. We report a case where an elderly male patient with self-inflicted injuries caused by acute psychosis. The investigation confirmed an acute left hemispherical stroke associated with a high-grade left internal carotid artery stenosis. The patient underwent a successful left carotid endarterectomy. His psychotic symptoms resolved and he was discharged home without the need for neuroleptic medication.