Late-onset periodic catatonia with atypical course: A diagnostic quandary
We describe a case of late-onset periodic catatonia with atypical course in an elderly male with onset at the age of 70 years with brief episodes of sudden agitation lasting for a few hours of the day, followed by immobility, mutism, ambitendency, withdrawal, and urinary incontinence for the next fe...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Geriatric Mental Health |
| Subjects: | |
| Online Access: | http://www.jgmh.org/article.asp?issn=2348-9995;year=2023;volume=10;issue=2;spage=94;epage=95;aulast=Kaur |
| _version_ | 1797222458145636352 |
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| author | Gurneet Kaur Swarndeep Singh Subhash Das Vipin Gupta |
| author_facet | Gurneet Kaur Swarndeep Singh Subhash Das Vipin Gupta |
| author_sort | Gurneet Kaur |
| collection | DOAJ |
| description | We describe a case of late-onset periodic catatonia with atypical course in an elderly male with onset at the age of 70 years with brief episodes of sudden agitation lasting for a few hours of the day, followed by immobility, mutism, ambitendency, withdrawal, and urinary incontinence for the next few days. Four such episodes with complete recovery over the next few days and no residual behavioral symptoms lasting for several years (up to 7 years) without any long-term prophylactic psychotropic use. During the fourth such episode, the patient presented to our facility with a similar abrupt onset of symptoms. All biochemical investigations and neuroimaging findings were found to be noncontributory. On clinical examination, a diagnosis of periodic catatonia was suspected, which was later confirmed by immediate response to the intravenous diazepam challenge given under vitals monitoring in a high-dependency unit setting. |
| first_indexed | 2024-03-07T21:35:45Z |
| format | Article |
| id | doaj.art-90b6763ab6684ed4bda8c47926623b3a |
| institution | Directory Open Access Journal |
| issn | 2348-9995 2395-3322 |
| language | English |
| last_indexed | 2024-04-24T13:21:39Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Geriatric Mental Health |
| spelling | doaj.art-90b6763ab6684ed4bda8c47926623b3a2024-04-04T14:33:45ZengWolters Kluwer Medknow PublicationsJournal of Geriatric Mental Health2348-99952395-33222023-01-01102949510.4103/jgmh.jgmh_18_23Late-onset periodic catatonia with atypical course: A diagnostic quandaryGurneet KaurSwarndeep SinghSubhash DasVipin GuptaWe describe a case of late-onset periodic catatonia with atypical course in an elderly male with onset at the age of 70 years with brief episodes of sudden agitation lasting for a few hours of the day, followed by immobility, mutism, ambitendency, withdrawal, and urinary incontinence for the next few days. Four such episodes with complete recovery over the next few days and no residual behavioral symptoms lasting for several years (up to 7 years) without any long-term prophylactic psychotropic use. During the fourth such episode, the patient presented to our facility with a similar abrupt onset of symptoms. All biochemical investigations and neuroimaging findings were found to be noncontributory. On clinical examination, a diagnosis of periodic catatonia was suspected, which was later confirmed by immediate response to the intravenous diazepam challenge given under vitals monitoring in a high-dependency unit setting.http://www.jgmh.org/article.asp?issn=2348-9995;year=2023;volume=10;issue=2;spage=94;epage=95;aulast=Kaurcatatoniadeliriumlate-onset catatoniaperiodic catatonia |
| spellingShingle | Gurneet Kaur Swarndeep Singh Subhash Das Vipin Gupta Late-onset periodic catatonia with atypical course: A diagnostic quandary Journal of Geriatric Mental Health catatonia delirium late-onset catatonia periodic catatonia |
| title | Late-onset periodic catatonia with atypical course: A diagnostic quandary |
| title_full | Late-onset periodic catatonia with atypical course: A diagnostic quandary |
| title_fullStr | Late-onset periodic catatonia with atypical course: A diagnostic quandary |
| title_full_unstemmed | Late-onset periodic catatonia with atypical course: A diagnostic quandary |
| title_short | Late-onset periodic catatonia with atypical course: A diagnostic quandary |
| title_sort | late onset periodic catatonia with atypical course a diagnostic quandary |
| topic | catatonia delirium late-onset catatonia periodic catatonia |
| url | http://www.jgmh.org/article.asp?issn=2348-9995;year=2023;volume=10;issue=2;spage=94;epage=95;aulast=Kaur |
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