Somatic treatment of catatonia
The authors reviewed the recent literature regarding the treatment of catatonia as a syndrome of multiple etiologies. Given the historical and clinical association of catatonia with schizophrenia, the authors' examined the assumption that the first-line treatment of catatonia is antipsychotic medication. Articles published between January 1, 1985 and December 31, 1994 were located using the Paperchase medical literature search system. Additionally, references from those identified articles were examined for possible inclusion in this review. To be included in this review, articles had to be written in English and report specific symptoms of catatonia to determine, retrospectively, if DSM-IV criteria for catatonia were met. Seventy publications met inclusion criteria and reported on a total of 178 patients and included 270 separate treatment episodes. Most of the articles were case-reports, although a few case-series were identified. Multiple causes of catatonia were identified in these reports. The most commonly reported treatment for catatonia was with benzodiazepines which were effective in 70 percent of the cases, with lorazepam demonstrating the highest frequency of use and a 79 percent complete response rate. Electroconvul...Continue Reading
Associated Clinical Trials
Lethal catatonia complicated by the development of neuroleptic malignant syndrome in a middle-aged female
Electroconvulsive therapy and cyclophosphamide in combination for severe neuropsychiatric lupus with catatonia.
Benzodiazepine withdrawal delirium with catatonic features. Occurrence in patients with partial seizure disorders
Factor analysis of the catatonia rating scale and catatonic symptom distribution across four diagnostic groups
Resolution of catatonia after treatment with stimulant medication in a patient with bipolar disorder
Suppression of catatonia-like signs by lorazepam in nonconvulsive status epilepticus without seizure termination
Electroconvulsive therapy for catatonia in an 18-year-old patient presenting with mixed features of schizophrenia and obsessive-compulsive disorder
World Federation of Societies of Biological Psychiatry (WFSBP) guidelines for biological treatment of schizophrenia, Part 1: acute treatment of schizophrenia
Malignant Catatonia Warrants Early Psychiatric-Critical Care Collaborative Management: Two Cases and Literature Review
One-year outcome after response to ECT in middle-aged and elderly patients with intractable catatonic schizophrenia
Is electroconvulsive therapy an evidence-based treatment for catatonia? A systematic review and meta-analysis
Electroconvulsive therapy in a man with autism experiencing severe depression, catatonia, and self-injury
Short-term effect of ECT in middle-aged and elderly patients with intractable catatonic schizophrenia
Catatonia is a psychomotor symptom in which patients present with stupor, although catatonic excitement may also present at the other end of the spectrum. Catatonia has been historically associated with schizophrenia although it is also associated with other neuropsychiatric disorders. Find the latest research on catatonic schizophrenia here.
Catatonia is a psychomotor syndrome with motor and behavioral symptoms, and can occur in both patients with or without psychiatric illness. Discover the latest research on Catatonia here.