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Published on: September 12, 2020
Catatonia recognition and treatment
Olivier Cottencin1, Thierry Danel, Michel Goudemand
1Department of Consultation Liaison Psychiatry, AP-HP European Georges Pompidou Hospital, University of Medicine, Paris, France. ocottencin@chru-lille.fr
Background:
Catatonic syndrome is no longer considered a subtype of schizophrenia but is more frequently associated with mood disorders (mania, melancholia, and psychotic depression) as well as general medical conditions (neurological disorders, drug-induced and toxic-induced conditions, metabolic conditions). A case of catatonia is reported which occurred after alcohol withdrawal.
Case Report:
Catatonia occurred 48 hours after alcohol withdrawal in a 54-year-old woman who had stopped all her treatment (in the context of a type II bipolar disorder). A dramatic improvement of symptoms was observed after oral administration of zolpidem.
Conclusions:
This case seems to confirm that catatonia can represents a nonspecific response to stress factors. The withdrawal of multiple medications was already described as a basis for catatonia. Alcohol withdrawal could constitute an additional risk factor for catatonia. The zolpidem test is a useful diagnostic and therapeutic test.
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