Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report
The following case study describes a 22-year-old woman with depression and symptoms of psychosis who developed neuroleptic malignant syndrome after using Risperidone, thus requiring life support equipment and Bromocriptine, later recovering after seven days. From a psychiatric and neurological point...
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Series: | Case Reports in Psychiatry |
Online Access: | http://dx.doi.org/10.1155/2013/452646 |
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doaj-4bb9ad601e5f42549c69e45311d1134d2020-11-24T22:55:05ZengHindawi LimitedCase Reports in Psychiatry2090-682X2090-68382013-01-01201310.1155/2013/452646452646Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case ReportC. Weiss0J. Santander1R. Torres2Department of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Apoquindo 3990, Oficina 502, Las Condes, 755-0112 Santiago, ChileDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Apoquindo 3990, Oficina 502, Las Condes, 755-0112 Santiago, ChileDepartment of Psychiatry, School of Medicine, Pontificia Universidad Católica de Chile, Apoquindo 3990, Oficina 502, Las Condes, 755-0112 Santiago, ChileThe following case study describes a 22-year-old woman with depression and symptoms of psychosis who developed neuroleptic malignant syndrome after using Risperidone, thus requiring life support equipment and Bromocriptine, later recovering after seven days. From a psychiatric and neurological point of view, however, the persistence of catatonic syndrome and Cotard syndrome delusions was observed, based on assertions such as “I do not have a heart,” “my heart is not beating,” “I can not breathe,” “I am breaking apart,” “I have no head” (ideas of negation) and statements about the patient being responsible for the “death of the whole world” (ideas of enormity). Brain NMR revealed leukoencephalopathy, interpreted as scar lesions caused by perinatal neurological damage, after discarding other pathologies. The patient responded well to electroconvulsive therapy after 11 sessions. Organic vulnerability to these syndromes, as well as their coexistence and clinical differentiation is discussed in the light of the data observed.http://dx.doi.org/10.1155/2013/452646 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
C. Weiss J. Santander R. Torres |
spellingShingle |
C. Weiss J. Santander R. Torres Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report Case Reports in Psychiatry |
author_facet |
C. Weiss J. Santander R. Torres |
author_sort |
C. Weiss |
title |
Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report |
title_short |
Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report |
title_full |
Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report |
title_fullStr |
Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report |
title_full_unstemmed |
Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report |
title_sort |
catatonia, neuroleptic malignant syndrome, and cotard syndrome in a 22-year-old woman: a case report |
publisher |
Hindawi Limited |
series |
Case Reports in Psychiatry |
issn |
2090-682X 2090-6838 |
publishDate |
2013-01-01 |
description |
The following case study describes a 22-year-old woman with depression and symptoms of psychosis who developed neuroleptic malignant syndrome after using Risperidone, thus requiring life support equipment and Bromocriptine, later recovering after seven days. From a psychiatric and neurological point of view, however, the persistence of catatonic syndrome and Cotard syndrome delusions was observed, based on assertions such as “I do not have a heart,” “my heart is not beating,” “I can not breathe,” “I am breaking apart,” “I have no head” (ideas of negation) and statements about the patient being responsible for the “death of the whole world” (ideas of enormity). Brain NMR revealed leukoencephalopathy, interpreted as scar lesions caused by perinatal neurological damage, after discarding other pathologies. The patient responded well to electroconvulsive therapy after 11 sessions. Organic vulnerability to these syndromes, as well as their coexistence and clinical differentiation is discussed in the light of the data observed. |
url |
http://dx.doi.org/10.1155/2013/452646 |
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