In this report authors discuss similarities between psychiatric phenomenon i.e. catatonia and neuropsychiatric syndromes such as progressive supranuclear palsy (PSP) in a 51 years old male, known case of hypertension and diabetes, who presented to the psychiatric services with mutism, stereotypical movements of upper limbs, echolalia, anteriorly flexed neck, swallowing difficulty, decreased oral intake, urinary and fecal incontinence for a period of 1 year worsened for 6 months. Patient was initially treated for catatonia with benzodiazepines and electroconvulsive therapy but did not improve. A neuropsychiatric consultation was sought and a diagnosis of possible PSP was made according to the National Institute of Neurological Disorders and Stroke and Society for PSP (NINDS-SPSP ) criteria. The authors discuss the importance of considering other differential diagnoses such as PSP in patients who present with symptoms that may resemble catatonia and psychiatric syndromes.
Saeed, Humera; Khan, Qurat ul Ain; Jilani, Syeda Masharab; and Batool, Syeda Maheen
"Diagnostic dilemmas of progressive Supranuclear palsy,"
Pakistan Journal of Neurological Sciences (PJNS): Vol. 14:
3, Article 3.
Available at: https://ecommons.aku.edu/pjns/vol14/iss3/3