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Catatonia - case report and review.

Finian M O'Brien1, Joan Moroney2, Declan Lyons3

  • 1Royal College of Surgeonsin,Ireland.

Irish Journal of Psychological Medicine
|September 12, 2018
PubMed
Summary

Catatonia, a challenging neuro-psychiatric disorder, was diagnosed in a woman with prolonged functional decline. Prompt treatment with electro-convulsive therapy led to her recovery and restored independence.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Geriatric Medicine

Background:

  • Catatonia is a complex neuro-psychiatric syndrome often overlooked in clinical practice.
  • It can manifest across various medical, psychiatric, and drug-induced conditions.
  • Early and accurate diagnosis is crucial for effective management.

Purpose of the Study:

  • To highlight the diagnostic challenges of catatonia.
  • To present a case study of a patient with prolonged, undiagnosed catatonia.
  • To emphasize the importance of multidisciplinary assessment in identifying catatonia.

Main Methods:

  • A comprehensive literature review on catatonia.
  • Detailed case report of a 64-year-old woman with severe functional impairment.
  • Multidisciplinary team assessment including neurology and neuropsychiatry.
  • Review of treatment response to electro-convulsive therapy and psychotropic medication adjustment.

Main Results:

  • The patient presented with a three-year history of severe communication and functional deficits, initially misdiagnosed.
  • A thorough multidisciplinary evaluation led to a diagnosis of catatonia.
  • The patient showed significant improvement following electro-convulsive therapy and medication adjustments.

Conclusions:

  • Catatonia can present insidiously and be misdiagnosed, even with extensive prior assessments.
  • Multidisciplinary collaboration is essential for accurate catatonia diagnosis.
  • Electro-convulsive therapy remains a highly effective treatment for catatonia, leading to rapid functional recovery.