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Catatonic Signs in Medical and Psychiatric Catatonias

Published online by Cambridge University Press:  07 November 2014

Abstract

Patients with psychiatric catatonias vs those with medical catatonias may differ in catatonic phenomenology. To determine if these could be distinguished, the following methods were used: 1) a review of the literature; 2) a chart review; and 3) a prospective series. The literature review of 467 report of medical catatonias yielded 240 cases that met research criteria. A chart review of 47 episodes of catatonia revealed a higher frequency of negativism in patients with medical catatonias. Prospective data obtained from rating scales revealed an increased frequency of echophenomena in patients with medical catatonias; however, no discriminate pattern of catatonic signs for medical catatonias arose. Overall, catatonic signs appear to share a similar distribution. These findings suggest that psychiatric and medical catatonias are indistinguishable based upon catatonic signs.

Type
Feature Articles
Copyright
Copyright © Cambridge University Press 2000

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References

REFERENCES

1.Kahlbaum, KL, Levij, Y, Pridon, T, trans. Catatonia. Baltimore, MD: Johns Hopkins University Press; 1973.Google Scholar
2.Fisher, CM. “Catatonia” due to disulfiram toxicity. Arch Neurol. 1989;46:798804.CrossRefGoogle ScholarPubMed
3.Popkin, MK, Tucker, GJ. “Secondary” and drug-induced mood, anxiety, psychotic, catatonic, and personality disorders: a review of the literature. J Neuropsych Clin Neurosci. 1992;4:369385.Google ScholarPubMed
4.Rosebush, PI, Hildebrand, AM, Furlong, BG, et al.Catatonic syndrome in a general psychiatric inpatient population: frequency, clinical population, and response to lorazepam. J Clin Psych. 1990;51:357362.Google Scholar
5.Carroll, BT. Catatonia on the consultation-liaison service. Psychosom. 1992;33:310315.CrossRefGoogle ScholarPubMed
6.Gelenberg, AJ. The catatonic syndrome. Lancet. 1976;1:13391341.CrossRefGoogle ScholarPubMed
7.Barnes, MP, Saunders, M, Walls, TJ, et al.The syndrome of Karl Ludwig Kahlbaum. J Neurosurg Neurol Psych. 1986;49:991996.CrossRefGoogle ScholarPubMed
8.Fein, S, McGrath, MG. Problems in diagnosing bipolar disorder in catatonia. J Clin Psychiatry. 1995;51:203205.Google Scholar
9.Carroll, BT, Anfinson, TJ, Kennedy, JC, et al.Catatonic disorder due to general medical conditions. J Neuropsych Clin Neurosci. 1994;6:122133.Google ScholarPubMed
10.Lohr, JB, Wisniewski, AA. Catatonia. In: Lohr, JB, Wisniewski, AA. The Neuropsychiatric Basis of Movement Disorders. Baltimore, MD: Guilford press; 1987:201227.Google Scholar
11.Northoff, G, Koch, A, Wenke, J, et al.Catatonia as a psychomotor syndrome, a rating scale and extrapyramidal motor symptoms. Movement Disorders. 1999;14:404416.3.0.CO;2-5>CrossRefGoogle ScholarPubMed
12.Bush, B, Fink, M, Petrides, G, et al.Catatonia. I. Rating scale and standardized examination. Acta Psychiatr Scand. 1996;93:129136.CrossRefGoogle ScholarPubMed
13.Lund, CE, Mortimer, AM, Rogers, D, et al.Motor, volitional and behavioral disorders in schizophrenia: assessment using the Modified Rogers scale. Br J Psychiatry. 1991;158:323327.CrossRefGoogle ScholarPubMed
14.Bush, B, Fink, M, Petrides, G, et al.Catatonia. II. Treatment with lorazepam and electroconvulsive therapy. Acta Psychiatr Scand. 1996;93:137143.CrossRefGoogle ScholarPubMed