Clinical Case Database / Category: Patient Management

Catatonic syndrome

Publication details

Dr. Graham Stuart McMillan, Ms. Ayesha Ejaz
Foundation Years Journal, volume 5, issue 10, p.25 (123Doc Education, London, December 2011)

Abstract

A case will be presented of a first episode of psychosis with features of catatonic syndrome. Diagnostic challenges are discussed and some potential pitfalls in treatment are detailed. A brief discussion about these matters follows with reference to some current ideas around the diagnosis, treatment and classification of catatonic syndrome.

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Authors

Dr. Graham Stuart McMillan

Consultant Psychiatrist in General Adult Psychiatry, Greater Glasgow & Clyde NHS Board
Graham.Mcmillan@ggc.scot.nhs.uk

Ms. Ayesha Ejaz

4th year medical student at Glasgow University.
0605953E@student.gla.ac.uk

References

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4. Pauker SL, Brown R. Baclofen induced catatonia. J. Clin. Pschopharmacol. 1986; 6(6): 387-8.
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6. Neumarker K-J. Leonhard and the classification of psychomotor psychoses in childhood and adolescence. Psychopathol. 1990;23:243-252.
7. Fink M, The intimate relationship between catatonia and convulsive therapy. Journal of ECT 2010: 26(4): 243-245.
8. Abrams R, Taylor MA. Catatonia: Prediction of response to somatic treatments. Am. J. Psychiatry. 1997; 134: 78-80.
9. Kahlbaum K. Die Katatnonie oder das Spannungsirresein. Berlin, Germany: Verlag August Hirshwald: 1874.
10. Kraepelin E. Psychiatrie: Ein Lehrbuch fur Studirende und Aerzte. 5th ed. Leipzig, Germany: Barth; 1896.
11. The ICD10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. World Health Organisation Jan. 1992.
12. Fink M, Taylor MA. Catatonia: A clinician's guide to Diagnosis and Treatment. 1st ed. Cambridge University press 2003: 194-195.
13. Peralta V, Campos M.S, de Jalon E G, Cuesta M.J. DSM-IV catatonia signs and criteria in first-episode, drug naive psychotic patients: Psychometric validity and response to antipsychotic medication. Schizophrenia Research. 2010; 118(1):168-175.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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