Intracranial Space-Occupying Lesion Presenting as Catatonia in a Patient of Affective Disorder with a History of Recurrent Catatonic Episodes: A Case Report.

A previous version was presented as an oral paper at the Annual National Conference of The Indian Psychiatric Society (ANCIPS), Ranchi, India, 2018. ABSTRACT Intracranial space-occupying lesions (ICSOLs) like hematomas, neoplasms, granulomas, or brain abscesses can present with diverse neuropsychiatric manifestations. Subtle cognitive deficits, anxiety, affective symptoms--especially depression, personality changes, and psychosis, most commonly hallucinations, have been associated with organic etiology. Catatonia has seen a paradigmatic shift in its etiological basis and space-occupying lesion is a rare yet important cause to be investigated for, as it poses a challenge in terms of searching for early clinical indicators of cerebral pathology and difference in treatment outcome due to etiology. Here we present a case of catatonia due to ICSOL in a patient of affective disorder with a history of recurrent catatonic episodes, highlighting the importance of approaching each catatonic presentation as a syndrome with diverse possible etiology. [ABSTRACT FROM AUTHOR]