title: Catatonia versus neuroleptic malignant syndrome: the diagnostic dilemma and treatment.
abstract: Catatonia is a syndrome, comprised of symptoms such as motor immobility, excessive motor activity, extreme negativism, and stereotyped movements. Neuroleptic is able to induce catatonia like symptoms, that is, the neuroleptic malignant syndrome (NMS). In NMS, patients typically show symptoms such as an altered mental state, muscle rigidity, tremor, tachycardia, hyperpyrexia, leukocytosis, and elevated serum creatine phosphorous kinase. Several researchers have reported studies on catatonia and the association between catatonia and NMS, but none were from this part of the eastern India. In our case, we observed overlapping symptoms of catatonia and NMS; we wish to present a case of this diagnostic dilemma in a patient with catatonia, where a detailed history, investigation, and symptom management added as a great contribution to the patient's rapid improvement.
authors: Department of Psychiatry, Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors: Manoj Kumar
authors: MK
authors: Sahoo
authors: Department of Psychiatry, Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors: Sanjay
authors: S
authors: Agarwal
authors: Department of Psychiatry, Tata Main Hospital, Jamshedpur, Jharkhand, India.
authors: Harshita
authors: H
authors: Biswas
keywords: catatonia; management; neuroleptic malignant syndrome