Limits...
Progressive multifocal leucoencephalopathy in AIDS camouflaged with catatonia: A wolf in sheep's clothing.

Kumar P, Jain MK - Indian J Psychiatry (2006)

Bottom Line: Progressive multifocal leucoencephalopathy (PML) may pose a clinical and diagnostic dilemma.The patient may remain in a protracted psychotic state with negative symptoms, without overt features of dementia.The condition blends with catatonia, and eventually with akinetic mutism in a patient of AIDS in the absence of clinical evidence of an immunocompromised state.

View Article: PubMed Central - PubMed

Affiliation: Associate Professor, Department of Medicine, S.S. Medical College and Associated S.G.M. Hospital, Rewa, Madhya Pradesh.

ABSTRACT
Progressive multifocal leucoencephalopathy (PML) may pose a clinical and diagnostic dilemma. The patient may remain in a protracted psychotic state with negative symptoms, without overt features of dementia. The condition blends with catatonia, and eventually with akinetic mutism in a patient of AIDS in the absence of clinical evidence of an immunocompromised state. The present case report highlights the need for an in-depth clinical, biochemical and MRI assessment of patients with catatonia and akinetic mutism. Stupor of an 'akinetic mutism' pattern seems an important indication for HIV screening, particularly in high-risk patients.

No MeSH data available.


Related in: MedlinePlus

T2W axial image at the level of the centrum semi-ovale. Confluent and discrete T2 hyperintense lesions are seen in the subcortical white matter with the involvement of ‘u’ fibres bilaterally in an asymmetrical distribution.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2913650&req=5

Figure 0003: T2W axial image at the level of the centrum semi-ovale. Confluent and discrete T2 hyperintense lesions are seen in the subcortical white matter with the involvement of ‘u’ fibres bilaterally in an asymmetrical distribution.


Progressive multifocal leucoencephalopathy in AIDS camouflaged with catatonia: A wolf in sheep's clothing.

Kumar P, Jain MK - Indian J Psychiatry (2006)

T2W axial image at the level of the centrum semi-ovale. Confluent and discrete T2 hyperintense lesions are seen in the subcortical white matter with the involvement of ‘u’ fibres bilaterally in an asymmetrical distribution.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2913650&req=5

Figure 0003: T2W axial image at the level of the centrum semi-ovale. Confluent and discrete T2 hyperintense lesions are seen in the subcortical white matter with the involvement of ‘u’ fibres bilaterally in an asymmetrical distribution.
Bottom Line: Progressive multifocal leucoencephalopathy (PML) may pose a clinical and diagnostic dilemma.The patient may remain in a protracted psychotic state with negative symptoms, without overt features of dementia.The condition blends with catatonia, and eventually with akinetic mutism in a patient of AIDS in the absence of clinical evidence of an immunocompromised state.

View Article: PubMed Central - PubMed

Affiliation: Associate Professor, Department of Medicine, S.S. Medical College and Associated S.G.M. Hospital, Rewa, Madhya Pradesh.

ABSTRACT
Progressive multifocal leucoencephalopathy (PML) may pose a clinical and diagnostic dilemma. The patient may remain in a protracted psychotic state with negative symptoms, without overt features of dementia. The condition blends with catatonia, and eventually with akinetic mutism in a patient of AIDS in the absence of clinical evidence of an immunocompromised state. The present case report highlights the need for an in-depth clinical, biochemical and MRI assessment of patients with catatonia and akinetic mutism. Stupor of an 'akinetic mutism' pattern seems an important indication for HIV screening, particularly in high-risk patients.

No MeSH data available.


Related in: MedlinePlus