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Article Synopsis
  • - Cerebral brain abscesses are rare but serious, especially in immunocompromised people, and can often imitate psychiatric disorders, complicating their diagnosis.
  • - A case study involves a 47-year-old HIV-positive woman with a psychiatric history who showed unusual symptoms like catatonia, leading to a diagnosis of a large brain abscess after imaging revealed significant issues.
  • - The patient received immediate treatment, including surgery, and showed improvement, highlighting the need for thorough diagnostic procedures and multidisciplinary care in similar cases to ensure better health outcomes.
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Background: Schizophrenia is a severe mental health disorder characterized by abnormality in patient perception, belief and cognition resulting in gross abnormal behaviour and deterioration in interpersonal relationship and occupational functioning with onset usually in adolescence and youth period. While it is common to observe distortion in the belief system and perceptual experiences and other oddities of behaviour, including amotivational syndrome, ambivalence, social withdrawal, catatonia among youth suffering from this severe mental disorder, presenting with neurological symptom of complete inability to walk despite the desire to do so is very uncommon. We aimed to present a case report of a Nigerian youth who presented with inability to walk without any neurological deficit and had normal brain MRI scan.

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Rationale: Systemic lupus erythematosus (SLE) is frequently accompanied by neuropsychiatric (NP) manifestations. However, typical symptoms of catatonia are uncommon. Neuropsychiatric SLE or its "mimickers" may cause NP symptoms, making differential diagnosis a significant challenge in clinical practice.

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A subtle mimicker in emergency department: Illustrated case reports of acute drug-induced dystonia.

Medicine (Baltimore)

October 2016

Neurology Clinic (MVD, AD, RD,LB, MO), "SS Annunziata" Hospital Department of Neuroscience, Imaging and Clinical Sciences (RD, MO, LB) University "G. d'Annunzio" of Chieti-Pescara, Chieti, Italy.

Background: Movement disorder emergencies include any movement disorder which develops over hours to days, in which failure to appropriately diagnose and manage can result in patient morbidity or mortality.Movement disorder emergencies include acute dystonia: sustained or intermittent muscle contractions causing abnormal, often repetitive, movements. Acute dystonia is a serious challenge for emergency room doctors and neurologists, because of the high probability of misdiagnosis, due to the presence of several mimickers including partial seizures, meningitis, localized tetanus, serum electrolyte level abnormalities, strychnine poisoning, angioedema, malingering, catatonia, and conversion.

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