Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report
Intracranial space-occupying lesions (ICSOLs) like hematomas, neoplasms, granulomas, or brain abscesses can present with diverse neuropsychiatric manifestations. Subtle cognitive deficits, anxiety, affective symptoms—especially depression, personality changes, and psychosis, most commonly hallucinat...
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| Format: | Article |
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IUC University Press
2024-03-01
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| Series: | Neuropsychiatric Investigation |
| Online Access: | https://neuropsychiatricinvestigation.org/en/intracranial-space-occupying-lesion-presenting-as-catatonia-in-a-patient-of-affective-disorder-with-a-history-of-recurrent-catatonic-episodes-a-case-report-13658 |
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| author | Arnab Datta Nirmalya Mukherjee |
| author_facet | Arnab Datta Nirmalya Mukherjee |
| author_sort | Arnab Datta |
| collection | DOAJ |
| description | Intracranial space-occupying lesions (ICSOLs) like hematomas, neoplasms, granulomas, or brain abscesses can present with diverse neuropsychiatric manifestations. Subtle cognitive deficits, anxiety, affective symptoms—especially depression, personality changes, and psychosis, most commonly hallucinations, have been associated with organic etiology. Catatonia has seen a paradigmatic shift in its etiological basis and space-occupying lesion is a rare yet important cause to be investigated for, as it poses a challenge in terms of searching for early clinical indicators of cerebral pathology and difference in treatment outcome due to etiology. Here we present a case of catatonia due to ICSOL in a patient of affective disorder with a history of recurrent catatonic episodes, highlighting the importance of approaching each catatonic presentation as a syndrome with diverse possible etiology. |
| format | Article |
| id | doaj-art-1c40d570c6b24d2d9cdf5eb9016a739c |
| institution | Kabale University |
| issn | 2792-0070 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | IUC University Press |
| record_format | Article |
| series | Neuropsychiatric Investigation |
| spelling | doaj-art-1c40d570c6b24d2d9cdf5eb9016a739c2024-12-05T16:53:29ZengIUC University PressNeuropsychiatric Investigation2792-00702024-03-01621323410.5152/NeuropsychiatricInvest.2024.23025Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case ReportArnab Datta0Nirmalya Mukherjee1Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Child and Adolescent Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, IndiaIntracranial space-occupying lesions (ICSOLs) like hematomas, neoplasms, granulomas, or brain abscesses can present with diverse neuropsychiatric manifestations. Subtle cognitive deficits, anxiety, affective symptoms—especially depression, personality changes, and psychosis, most commonly hallucinations, have been associated with organic etiology. Catatonia has seen a paradigmatic shift in its etiological basis and space-occupying lesion is a rare yet important cause to be investigated for, as it poses a challenge in terms of searching for early clinical indicators of cerebral pathology and difference in treatment outcome due to etiology. Here we present a case of catatonia due to ICSOL in a patient of affective disorder with a history of recurrent catatonic episodes, highlighting the importance of approaching each catatonic presentation as a syndrome with diverse possible etiology.https://neuropsychiatricinvestigation.org/en/intracranial-space-occupying-lesion-presenting-as-catatonia-in-a-patient-of-affective-disorder-with-a-history-of-recurrent-catatonic-episodes-a-case-report-13658 |
| spellingShingle | Arnab Datta Nirmalya Mukherjee Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report Neuropsychiatric Investigation |
| title | Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report |
| title_full | Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report |
| title_fullStr | Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report |
| title_full_unstemmed | Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report |
| title_short | Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report |
| title_sort | intracranial space occupying lesion presenting as catatonia in a patient of affective disorder with a history of recurrent catatonic episodes a case report |
| url | https://neuropsychiatricinvestigation.org/en/intracranial-space-occupying-lesion-presenting-as-catatonia-in-a-patient-of-affective-disorder-with-a-history-of-recurrent-catatonic-episodes-a-case-report-13658 |
| work_keys_str_mv | AT arnabdatta intracranialspaceoccupyinglesionpresentingascatatoniainapatientofaffectivedisorderwithahistoryofrecurrentcatatonicepisodesacasereport AT nirmalyamukherjee intracranialspaceoccupyinglesionpresentingascatatoniainapatientofaffectivedisorderwithahistoryofrecurrentcatatonicepisodesacasereport |