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Updated: Jun 19, 2026

Hyponeophagia: A Measure of Anxiety in the Mouse
Published on: May 17, 2011
Micrographia and hypophonia in anorexia nervosa
Murali Krishnan Sekar1, Jon Arcelus, Robert L Palmer
1Eating Disorder Services, Brandon Mental Health Unit, Leicester General Hospital, Leicester, LE5 4PW, United Kingdom. drmurali98@yahoo.com
This case report details a young woman with anorexia nervosa experiencing micrographia (small handwriting) and hypophonia (low volume speech). The study explores potential biological and psychodynamic causes for these neurological symptoms in the context of her condition.
Area of Science:
- Neurology
- Psychiatry
- Clinical Case Study
Background:
- Micrographia (small handwriting) and hypophonia (low volume speech) are neurological symptoms often associated with conditions like brain lesions and Parkinson's disease.
- Anorexia nervosa is a complex eating disorder with potential neurological and psychological manifestations.
Observation:
- A 22-year-old female patient diagnosed with anorexia nervosa presented with concurrent micrographia and hypophonia.
- The patient also had a history of epilepsy, adding complexity to her clinical presentation.
Findings:
- The co-occurrence of micrographia and hypophonia in a patient with anorexia nervosa is unusual and warrants further investigation.
- The onset, progression, and current status of these symptoms in the patient suggest a potential link to her underlying psychiatric and neurological conditions.
Implications:
- This case highlights the importance of considering neurological symptoms in patients with severe psychiatric disorders like anorexia nervosa.
- Further research into the biological and psychodynamic etiologies of micrographia and hypophonia in this patient population is needed.
- Understanding these connections may lead to more comprehensive diagnostic and therapeutic approaches for individuals with both eating disorders and neurological symptoms.
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