Oneiric stupor in a 45-year-old nurse with rapidly progressive dementia: What is the diagnosis?

Abstract

[...]she was treated with the presumed diagnosis of depression with sertraline and olanzapine although her anxiety and insomnia continued to predominate. [...]there were times throughout the night when her husband thought that she was partially awake making different body gestures, including cycling of both legs, manipulating her pajamas, pointing to non-existent objects, and chewing movements without any vocalizations. First is the presence of semipurposeful repetitive hip flexion-extension movements associated with foot and less frequent hand rubbing resembling akathisia.