1Department of Psychiatry, Muzaffarnagar Medical College, Muzaffarnagar, Uttar Pradesh, India
2Department Of Psychiatry, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India
3Department of Radiology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India
4Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India
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.
Paresis. Rubella. Comorbidity. India
