A 34-year-old man is being treated for schizophrenia exacerbation in a psychiatric unit. Objectively: the patient remains in bed, is sluggishly mobile, unresponsive, does not react to questions. His position is unvaried, hypomimic, snout reflex and Dupre's symptom are present, muscles exhibit waxy flexibility. He has been remaining in this state for approximately a week. Feeding is parenteral. Determine the neuromotor disturbance:

Answer options

1. Catatonic stupor
2. Depressive stupor
3. Anergic stupor
4. Psychogenic stupor
5. Exogenic stupor

Explanation

To substantiate the correct answer to this task, we use the data of history and clinical and psychopathological examination. The clinical picture of disturbances of the effector-volitional sphere in a form of stupor is presented. It proved by the presents of sluggishly mobile, unresponsive, and absence of reaction to questions, with the unvaried position, hypo mimic face, snout reflex, and Dupre’s symptom, muscles exhibit waxy flexibility, parenteral feeding. These symptoms have been remaining for a week. From the anamnesis it is known that the patient suffers from schizophrenia, is in the period of exacerbation. In this regard, hospitalized in a psychiatric hospital. Psychiatry: [Textbook] V.L. Gavenko, V.M. Sinayko, G.A. Samardakova and others; reduction by V.L. Gavenko, – Kharkiv: Region-inform, 2006. – 80 – 81 P.