Case Report

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PCC
Palinacousis or Auditory Perseverations After COVID Vaccination
Case Report

March 7, 2023

A 74-year-old man complained of mental repetition, including echoing of the last word of anything said, heard, or thought, after receiving a second dose of the Moderna COVID-19 vaccine.
Mario F. Mendez
PCC
Sleep State Misperception in Frontotemporal Dementia
Case Report

March 7, 2023

Clinicians should evaluate for paradoxical insomnia using an objective measure of sleep like actigraphy in patients with frontotemporal dementia, especially when the history is unreliable.
Kunal Debroy, Habib Yazgi, Venkatesh Basappa Krishnamurthy
PCC
Diogenes Syndrome Secondary to Huntington’s Disease
Case Report

March 2, 2023

Psychiatric symptoms are highly prevalent in neurologic conditions and are a major source of disability and diminished quality of life.
João Gama Marques
PCC
Thymoma and Anti-GAD65 Antibody Positivity in Schizophrenia
Case Report

February 16, 2023

This case describes the importance of assessing autoimmunity in patients with neuropsychiatric symptoms, especially if sensitive to developing side effects to psychotropic medications.
Rajkumar Sanahan, Deepa Purushothaman, Faheem Arshad, et al
PCC
Drug-Drug Interaction Involving Clozapine
Case Report

February 9, 2023

Patients should be warned of potential cardiovascular adverse effects of clozapine, especially when given alongside other medications.
Omobolanle Alli-Balogun, Patrick Bidkhanian, Gurraj Singh, et al
PCC
Psychotic Symptoms and Decision-Making Capacity in Schizophrenia
Case Report

February 7, 2023

Clinicians are less likely to assess a patient as lacking capacity at baseline; however, in a case in which the consequences of the decision are life versus death, all...
Holly N. Agud, Prasad R. Padala
PCC
Reversal of Symptoms of Catatonic Coma With Lorazepam
Case Report

February 2, 2023

In this case of catatonic coma, which precipitated a palliative care consult, full-dose lorazepam challenge changed the clinical course.
David R. Spiegel, Ann Ayzman, Faith E. Reid, et al
PCC
Central Nervous System Lymphoma Presenting as Psychogenic Vomiting
Case Report

February 2, 2023

This is a case of central nervous system lymphoma presenting as psychogenic vomiting in a young woman.
N. A. Uvais, V. S. Sreeraj, Shamsudeen Moideen, et al
JCP
Safety and Tolerability of Concomitant Intranasal Esketamine and MAOI Treatment
Case Report

February 1, 2023

Three cases suggest that concomitant use of intranasal esketamine with an irreversible, nonselective MAOI is safe in some patients.
Margarete A. Wallner, Joshua C. Eloge, Ian V. Mackey, et al
PCC
Management of Neuropsychiatric Disturbances in Huntington’s Disease
Case Report

January 26, 2023

Huntington’s disease can cause severe neuropsychiatric symptoms that worsen as the disease progresses. Proper assessment and understanding of such patients are critical in providing optimal treatment and determining the...
Joshua A. Jay, Vivek Kumar, Eric Garrels, et al
PCC
Acute Psychosis Precipitated by Lacosamide
Case Report

January 26, 2023

A patient with chronic epilepsy was started on lacosamide and developed paranoid delusions and hallucinations with no other conflicting symptoms.
Shixie Jiang, Christine Whitehead, Gregory A. Sullivan
PCC
High Levels of Prolactin With Amisulpride
Case Report

January 12, 2023

This case illustrates that very high prolactin levels—to a range usually seen in patients with pituitary prolactinomas—can occur secondary to amisulpride.
Akash Prasannakumar, Satish Suhas, Vijay Kumar
PCC
Comorbid Persistent Genital Arousal Disorder and Borderline Personality Disorder
Case Report

January 10, 2023

This case highlights the challenges that patients with both persistent genital arousal disorder and borderline personality disorder face, as well as the multidisciplinary approach needed to provide evidence-based care.
Zeeshan Faruqui, Grant Meckley, Ankit Jain, et al
PCC
Catatonia After Withdrawal of Quetiapine
Case Report

December 29, 2022

A 66-year-old woman treated in the inpatient unit for severe psychotic depression developed severe catatonia after stopping quetiapine.
Rodrigo Valido, Filipa Caldas, Pedro Ferreira
PCC
Rapid Microinduction of Buprenorphine in OUD
Case Report

December 27, 2022

This is the case of a patient who was transitioned from agonist therapy with methadone to sublingual buprenorphine in an outpatient setting in just 3 days.
Iryna Salapenka, Jaya Sri Konakanchi, Roopa Sethi
PCC
Antidepressant Drug Interaction in the Diagnosis of an Adrenal Tumor
Case Report

December 27, 2022

This report describes the case of a woman hospitalized for adrenergic symptoms associated with antidepressants and a differential diagnosis of pheochromocytoma.
Aldo Stoppa, Aida Orois
PCC
Comprehensive Evaluation Detects Seizure Disorder That Exacerbated Catatonia and Treatment-Resistant Schizophrenia
Case Report

December 22, 2022

In this young man, continuous video-EEG monitoring revealed undiagnosed seizures that, once treated, helped resolve his catatonia and reduce symptoms of schizophrenia.
Carol Lim, Abigail L. Donovan, G. Kyle Harrold, et al
PCC
Mal de Debarquement Syndrome Complicated by Psychiatric Comorbidities
Case Report

December 22, 2022

This is the case of a man who presented with dizziness and poor balance, whose follow-up was complicated by depression and anxiety.
Özge Ceren Amuk Williams, Emmanuelle J. Caraballo-Rivera, Sathya Narasimhan, et al
PCC
Clozapine Rechallenge With Recurrent Pancreatitis
Case Report

December 15, 2022

This report presents a unique case of concurrent pneumonia and pancreatitis following clozapine initiation and recurrence of pancreatitis upon rechallenge.
Kyle Ratcliff, Vineet Juneja, Arun Gupta, et al
PCC
Lurasidone-Induced Urinary Retention
Case Report

December 13, 2022

A variety of medications have been implicated in cases of urinary retention. This report describes an instance of urinary retention that developed during the course of lurasidone monotherapy.
Rojan Varghese, Richard Czuma, Alexis Cohen-Oram, et al
PCC
Psychosis Associated With Tacrolimus
Case Report

December 8, 2022

A 37-year-old man developed acute paranoid psychosis 7 months after renal transplantation, possibly induced by tacrolimus at therapeutic serum levels.
N. A. Uvais, Benil Hafeeq, Jyotish Chalil Gopinathan, et al
PCC
ECT in Children With Lupus Cerebritis and Catatonia
Case Report

December 1, 2022

A 13-year-old girl with neuropsychiatric systemic lupus erythematosus presenting with psychosis and persistent catatonia unresponsive to immunosuppressive agents and a benzodiazepine was successfully treated with ECT.
H. Yavuz Ince, Kaitlyn Ryan, Nasuh Malas, et al
PCC
COVID-19 Near-Death Experience
Case Report

December 1, 2022

This middle-aged man with no history of psychiatric illness was hospitalized in the ICU for COVID-19 respiratory symptoms. Although he did not need ventilation or resuscitation, he experienced “death”...
Pooja Shakya, Nileswar Das, Upasna Gopalakrishnan, et al
PCC
Recreational Use of 2M2B
Case Report

November 22, 2022

This report describes a patient whose use of 2-methyl-2-butanol—an inexpensive, easily accessible, potent, and nondetectable ethanol substitute—led to protracted intoxication and delirium.
Alia N. Syed, Raphael J. Leo

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