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A Diagnostic Dilemma: Catatonia, Serotonin Syndrome and Parkinsonism

Date: 7 January 2018

MJP Online Code: MJP-01-01-17 

Section: Case Report

Authors: Mohd Miharbei MF1,2, Ahmad Zafri AB1, Suhaila MZ1

Institutions: 1Jabatan Psikiatri dan Kesihatan Mental, Hospital Tengku Ampuan Afzan, 25100 Kuantan, Pahang, Malaysia
2Department of Psychological Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia

Keywords: Catatonia, Parkinsonism, Carbon Monoxide Poisoning

Abstract: Catatonia may concomitantly occur with other psychiatric diagnoses such as Major Depressive Disorder, however problem in diagnosis may arise due to the overlapping features with other problems such as serotonin syndromes, neuroleptic malignant syndromes and Parkinsonism. Despite the diagnostic dilemma and lack of diagnostic tools, the clinical correlation between the carbon monoxide poisoning and the late-onset development of the Parkinsonian features is the highlight of this report.

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