Indian Journal of PsychiatryIndian Journal of Psychiatry
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Year : 2006  |  Volume : 48  |  Issue : 1  |  Page : 69-71

Progressive multifocal leucoencephalopathy in AIDS camouflaged with catatonia: A wolf in sheep's clothing

Department of Medicine, S.S. Medical College and Associated S.G.M. Hospital, Rewa, Madhya Pradesh, India

Correspondence Address:
Pradeep Kumar
F-22, Medical College Campus, Rewa, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5545.31625

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Progressive multifocal leucoencephalopathy (PML) may pose a clinical and diagnostic dilemma. The patient may remain in a protracted psychotic state with negative symptoms, without overt features of dementia. The condition blends with catatonia, and eventually with akinetic mutism in a patient of AIDS in the absence of clinical evidence of an immunocompromised state. The present case report highlights the need for an in-depth clinical, biochemical and MRI assessment of patients with catatonia and akinetic mutism. Stupor of an 'akinetic mutism' pattern seems an important indication for HIV screening, particularly in high-risk patients.



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