Epileptic seizures superimposed on catatonic stupor

Epilepsia
Kazumasa SuzukiHiroo Matsuoka

Abstract

Some patients with nonconvulsive status epilepticus are known to exhibit catatonic stupor. Thus it is necessary to rule out ictal catatonia by electroencephalography in patients with catatonic stupor. However, few reports are available on epileptic seizures superimposed on catatonic stupor. We report three cases of epileptic seizures superimposed on psychiatric catatonic stupor without a prominent predisposing factor, including high fever or encephalitis. None of the patients had a personal or family history of neurologic disease, including epilepsy. In all three patients, catatonic stupor persisted after resolution of the epileptic seizures with administration of phenytoin. In two of the three patients, catatonic stupor resolved with electroconvulsive therapy, which caused no marked adverse effects. Because it is possible that catatonic stupor itself predisposes patients to the development of epileptic seizures, electroencephalographic examinations in patients with catatonic stupor are indispensable for early recognition not only of nonconvulsive status epilepticus but also of epileptic seizures superimposed on catatonic stupor. Electroconvulsive therapy deserves consideration when catatonic stupor persists after resolution of...Continue Reading

References

Mar 1, 1991·The British Journal of Psychiatry : the Journal of Mental Science·D A White, A H Robins
Oct 1, 1985·The American Journal of Psychiatry·J L Levenson
Aug 1, 1987·Biological Psychiatry·G AddonizioS D Roth
Feb 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·S J Logsdail, B K Toone
Oct 1, 1986·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·A Lazarus
Jul 1, 1986·Journal of Neurology, Neurosurgery, and Psychiatry·J LimS Wheeler
Nov 1, 1986·The American Journal of Psychiatry·S C MannM Hayashida
Jul 1, 1983·Neurology·O Devinsky, M S Duchowny
Sep 1, 1995·Epilepsia·E D Louis, N L Pflaster
Nov 1, 1994·Journal of Neurology, Neurosurgery, and Psychiatry·A PrimaveraL Cocito
Nov 1, 1993·Neurology·J Hillert, O Olerup
Apr 1, 1997·The Journal of Neuropsychiatry and Clinical Neurosciences·A D Krystal, C E Coffey
Sep 1, 1997·Biological Psychiatry·G PetridesA Francis
Aug 6, 1999·Movement Disorders : Official Journal of the Movement Disorder Society·B T Carroll
Oct 1, 1964·The Journal of Nervous and Mental Disease·R DEMILLE

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Citations

Mar 24, 2007·Internal Medicine·Yoichi OnoKoji Abe
Feb 20, 2016·Psychosomatics·Aizhan Tyndybekova Repchak, Davin K Quinn
Nov 18, 2008·Progress in Neuro-psychopharmacology & Biological Psychiatry·Tiao-Lai Huang, Yi-Yung Hung
Jan 24, 2008·Psychosomatics·Niraj Ahuja, Adrian J Lloyd
Jul 21, 2007·Progress in Neuro-psychopharmacology & Biological Psychiatry·Yi-Yung Hung, Tiao-Lai Huang
Dec 8, 2017·Dementia & Neuropsychologia·Nathália Stela Visoná de FigueiredoSônia Maria Dozzi Brucki
Nov 4, 2020·Journal of Investigative Medicine High Impact Case Reports·Edward C MaderBrian J Copeland
Dec 5, 2020·General Hospital Psychiatry·Dax C VolleJennifer L Kruse

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