Catatonia, neuroleptics and brain damage--a case report.
Catatonia is a syndrome that encompasses multiple motor signs. It can be the only presenting clinical feature in a patient with underlying multiple neuropsychiatric syndromes. The authors present a case of amisulpiride-induced catatonia, further evaluation suggested neuroleptic malignant syndrome (NMS) and showed the occurrence of temporal lobe epilepsy (TLE) and underlying brain pathology with marked frontoparietal atrophy and periventricular white matter hyperintensities. The pathological substrate of catatonia and its complex association with neuropsychiatric syndromes are discussed.
Old Age Psychiatry, Queen Elizabeth Psychiatric Hospital, Birmingham, UK.
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M
Chandran
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El-Shazly
D000077582:Amisulpride; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D001284:Atrophy; D002389:Catatonia / Q000139:chemically induced* / Q000175:diagnosis; D004833:Epilepsy, Temporal Lobe / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005625:Frontal Lobe / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D009459:Neuroleptic Malignant Syndrome / Q000175:diagnosis / Q000209:etiology*; D010296:Parietal Lobe / Q000473:pathology*; D011618:Psychotic Disorders / Q000188:drug therapy; D013469:Sulpiride / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use
D014150:Antipsychotic Agents; D013469:Sulpiride; D000077582:Amisulpride