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Journal of Case Reports
Rare Medical Complications in Chronic Schizophrenic Catatonia
Nilam S Behere, Shubhangi R Parkar
Department of Psychiatry, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai-400012, Maharashtra, India.
Corresponding Author:
Dr Nilam Behere
Email: voiceneelam@gmail.com
Received: 01-JUL-2021 Accepted: 08-FEB-2022 Published Online: 05-MAR-2022
DOI: http://dx.doi.org/10.17659/01.2022.0007
Background: Our understanding of catatonia has undergone various changes over time. Constant changes in diagnostic categorization and criteria of catatonia have led to significant under-diagnosis and consequent lack of systematic studies. Our knowledge about this condition largely rests on case reports. Case Report: We present a rare case of chronic schizophrenia of 16 years with catatonia for last 3 years. 30 years old Ms A, started having symptoms 16 years back in the form of delusion of persecution that a woman is trying to harm her.  Ultimately, she became immobile, starving and bedridden. She was started on risperidone and trihexyphenidyl and after 15 days she started showing improvement and was discharged after 50 days with 40-50% improvement. Conclusion: This case alerts us to the range of medical complications that can arise due to catatonic schizophrenia. It thus points towards dire need to identify catatonic symptoms in schizophrenia and treat them promptly before complications arise.
Keywords : Amenorrhea, Catatonia, Contracture, Delusions, Pain.
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