Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?

Background. Catatonia is caused by a variety of psychiatric and organic conditions. The onset, clinical profile, and response to treatment may vary depending on the underlying cause. Catatonia is more likely to be associated with neurotic and psychotic disorders, but some psychiatric symptoms are ke...

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Autores principales:	Pilar de Jaime Ruiz, Jose Luis García-Fogeda Romero, Luis Gutiérrez-Rojas
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/86909aed8f624435aed6adc4e19f3acb
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spelling	oai:doaj.org-article:86909aed8f624435aed6adc4e19f3acb2021-11-08T02:36:13ZCatatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?2090-683810.1155/2021/5936673https://doaj.org/article/86909aed8f624435aed6adc4e19f3acb2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/5936673https://doaj.org/toc/2090-6838Background. Catatonia is caused by a variety of psychiatric and organic conditions. The onset, clinical profile, and response to treatment may vary depending on the underlying cause. Catatonia is more likely to be associated with neurotic and psychotic disorders, but some psychiatric symptoms are key components in the clinical presentation of other medical conditions. Case Report. We report the case of a woman who started showing paroxysmal recurrent episodes since the age of 57 years, characterized by surrounding disconnection, disorientation, and muscle spasm (myoclonus), followed by a postictal state. In the following months, the symptoms evolved to akinetic mutism, catatonia, and rapidly progressive vision and audition loss. She underwent a battery of tests, most of them inconclusive, until a neoplastic meningoencephalitis was diagnosed after more than two years of symptoms. Numerous medical conditions can mimic psychiatric disorders. This uncommon presentation may lead to a late diagnosis and treatment initiation, increasing significantly morbidity and mortality. A differential diagnosis with infectious, autoimmune, and neoplastic etiologies should always be carried out.Pilar de Jaime RuizJose Luis García-Fogeda RomeroLuis Gutiérrez-RojasHindawi LimitedarticlePsychiatryRC435-571ENCase Reports in Psychiatry, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Psychiatry RC435-571
spellingShingle	Psychiatry RC435-571 Pilar de Jaime Ruiz Jose Luis García-Fogeda Romero Luis Gutiérrez-Rojas Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?
description	Background. Catatonia is caused by a variety of psychiatric and organic conditions. The onset, clinical profile, and response to treatment may vary depending on the underlying cause. Catatonia is more likely to be associated with neurotic and psychotic disorders, but some psychiatric symptoms are key components in the clinical presentation of other medical conditions. Case Report. We report the case of a woman who started showing paroxysmal recurrent episodes since the age of 57 years, characterized by surrounding disconnection, disorientation, and muscle spasm (myoclonus), followed by a postictal state. In the following months, the symptoms evolved to akinetic mutism, catatonia, and rapidly progressive vision and audition loss. She underwent a battery of tests, most of them inconclusive, until a neoplastic meningoencephalitis was diagnosed after more than two years of symptoms. Numerous medical conditions can mimic psychiatric disorders. This uncommon presentation may lead to a late diagnosis and treatment initiation, increasing significantly morbidity and mortality. A differential diagnosis with infectious, autoimmune, and neoplastic etiologies should always be carried out.
format	article
author	Pilar de Jaime Ruiz Jose Luis García-Fogeda Romero Luis Gutiérrez-Rojas
author_facet	Pilar de Jaime Ruiz Jose Luis García-Fogeda Romero Luis Gutiérrez-Rojas
author_sort	Pilar de Jaime Ruiz
title	Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?
title_short	Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?
title_full	Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?
title_fullStr	Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?
title_full_unstemmed	Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?
title_sort	catatonia and mutism: neurotic, psychotic, or organic disorder?
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/86909aed8f624435aed6adc4e19f3acb
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Catatonia and Mutism: Neurotic, Psychotic, or Organic Disorder?

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