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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Main Authors: C. Weiss, J. Santander, R. Torres
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2013/452646
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spelling 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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