Open J Psychiatry Allied Sci. 2020;11:59-62. doi: 10.5958/2394-2061.2020.00014.2. Epub 2020 Mar 13.
Diagnostic dilemma of cognitive decline in a young female: considering congenital rubella, depressive disorder, and moyamoya disease.
Victor R, Saxena V, Raghuvanshi S, Gupta R.
Abstract
We report a case of a 20-year-old young female patient from North India presenting with headache, decline in scholastic performance, irritability, and low mood, and having a history of hemiparesis, who had rubella infection in her antenatal period, who was investigated and diagnosed as persistent depressive disorder (PDD) with left-sided hemiparesis in remission with moyamoya disease (MMD) based on history, examination, and relevant investigation (magnetic resonance imaging [MRI] brain/magnetic resonance [MR] angiogram). We highlight the difficulties we faced in attributing whether the cognitive decline was due to congenital rubella, PDD, MMD, or a combination of any of these three diagnoses.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.