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CASE REPORT
Year : 2020  |  Volume : 15  |  Issue : 2  |  Page : 295-299

Schizophrenia with obsessive-compulsive symptoms - neuropsychiatric manifestation in the context of underlying brain pathology: A case report from rural tertiary health-care center from Maharashtra


Department of Psychiatry, Jawaharlal Nehru Medical College (Deemed to be University), Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India

Correspondence Address:
Dr. Ajinkya Ghogare
House Number 4, Shree Colony, Daryapur, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_34_20

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Obsessive–compulsive symptoms (OCS) and obsessive–compulsive disorder (OCD) occur frequently in schizophrenia. Comorbid OCS or OCD can influence the course of schizophrenia. Comorbid OCS or OCD is associated with an increased severity of schizophrenia and poorer prognosis. Lacunar infarcts though not always, but often considered benign as they do not usually cause clinically significant neuropsychiatric or neurological deficits. In the current case report, we highlight a rare case of a 23-year-old male who presented with schizophrenia with OCS in the background of lacunar infarct in the left corona radiata on computed tomography of the brain, which later followed by focal ischemic changes in the subcortical left temporal, peritrigonal, and periventricular regions on magnetic resonance imaging of the brain. In the current case report, index patient suffering from schizophrenia showed a temporal association between the worsening of findings on neuroimaging and worsening of OCS, depicting the growing importance of neuroimaging in the field of psychiatry.


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