scholarly journals Catatonia, Neuroleptic Malignant Syndrome, and Cotard Syndrome in a 22-Year-Old Woman: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
C. Weiss ◽  
J. Santander ◽  
R. Torres

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.

2017 ◽  
Vol 30 ◽  
pp. 230-231 ◽  
Author(s):  
Mustafa Ali ◽  
Soumitra Das ◽  
Jagadisha Thirthalli ◽  
Nagavarapu Leela Shankar Sastry

2021 ◽  
Vol 19 (3) ◽  
pp. 572-575
Author(s):  
Yuhei Mori ◽  
Itaru Miura ◽  
Michinari Nozaki ◽  
Yusuke Osakabe ◽  
Ryuta Izumi ◽  
...  

1995 ◽  
Vol 29 (2) ◽  
pp. 324-327 ◽  
Author(s):  
K. M. H. Perera ◽  
A. Ferraro ◽  
M. R. M. Pinto

The case of a patient who developed catatonia one week following Lysergic Acid Diethylamide (LSD) ingestion is presented. The psychosis developed two days after the intake. The catatonic syndrome resolved dramatically following one treatment of electroconvulsive therapy (ECT). This is perhaps the first case report of catatonia following the use of LSD. The need for a diagnostic category of organic catatonia is highlighted.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Modabber Arasteh ◽  
Shoaleh Shami ◽  
Karim Nasseri

Electroconvulsive therapy can be effective in severe or treatment resistant neuroleptic malignant syndrome patients. Anesthesia and use of muscle relaxant agents for electroconvulsive therapy in such patients may encounter anesthesiologists with specific challenges. This case report describes successful management of anesthesia in 28-year-old male patient undergoing eight electroconvulsive therapy sessions for treatment of neuroleptic malignant syndrome.


2017 ◽  
Vol 39 (1) ◽  
pp. 62-63 ◽  
Author(s):  
Kathy Aleixo Marcolin ◽  
Cazuza Oliveira Rodrigues ◽  
Tissiana Maria Falcão Muller ◽  
Felipe Salles de Salles ◽  
Vitor Calegaro ◽  
...  

Author(s):  
Esra Oksel

“…Sit down. Look at the TV. Move slowly. Wait for death.” Background & Aim: Systemic sclerosis or scleroderma is a rare chronic connective tissue disease included among autoimmune rheumatic diseases. The disease affects many organs and the organ system. It also has multiple effects on the patient’s individual life. In care management, in addition to the physical effects of the disease, its emotional, psychological, and social influences must also be considered and managed. The present study aimed to touch the psychosocial aspect of scleroderma and the unseen effects of the disease are presented over a case study. Case Report: 52-year-old, female patient, married with two children. Her self-evaluation after the diagnosis of the disease, she explained that her physical state, social relationships, economic condition, domestic relations, and mood were affected by the disease negatively. Conclusion: In managing psychosocial problems in nursing care, it is necessary to consider that each patient has different needs, perspectives on life, future expectations, and coping mechanisms. The present study reveals the unknown face scleroderma, its psychosocial effects, from a patient’s point of view.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.


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