Abstract
Karl Ludwig Kahlbaum was the first to describe catatonia in 1868. There has been a tendency to consider catatonia as a psychiatric disease despite many case reports demonstrating a wide range of medical and neurological as well as psychiatric causes. We present our accumulated experience of the catatonic syndrome. Most cases (36%) were associated with affective illness but five cases (20%) had a defined organic disorder. A significant minority had no identifiable cause and there was only one case of schizophrenia. The idiopathic and affective groups had a high incidence of recurrent catatonic episodes and many had a family history of a similar problem. The prognosis was excellent, except for the few patients who presented with the acute and rapidly progressive form of the syndrome which led to acute renal failure.
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Selected References
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- Abrams R., Taylor M. A. Catatonia. A prospective clinical study. Arch Gen Psychiatry. 1976 May;33(5):579–581. doi: 10.1001/archpsyc.1976.01770050043006. [DOI] [PubMed] [Google Scholar]
- BRAGE D., PEDACE E. A., NAPOLITANO A. G. Estupor hipotalamico por hidatide diencefalohipofisaria: mutismo aquinetico de Cairns. Prensa Med Argent. 1956 Sep 28;43(39):2954–2959. [PubMed] [Google Scholar]
- Breakey W. R., Kala A. K. Typhoid catatonia responsive to ECT. Br Med J. 1977 Aug 6;2(6083):357–359. doi: 10.1136/bmj.2.6083.357. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cooper A. F., Schapira K. Case report: depression, catatonic stupor, and EEG changes in hyperparathyroidism. Psychol Med. 1973 Nov;3(4):509–515. doi: 10.1017/s0033291700054325. [DOI] [PubMed] [Google Scholar]
- Durrant W. Catatonia after malaria. Br Med J. 1977 Oct 1;2(6091):893–893. doi: 10.1136/bmj.2.6091.893. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Engquist A., Jørgensen B. C., Andersen H. B. Catatonia after epidural morphine. Acta Anaesthesiol Scand. 1981 Oct;25(5):445–446. doi: 10.1111/j.1399-6576.1981.tb01684.x. [DOI] [PubMed] [Google Scholar]
- FOLTZ E. L., WARD A. A., Jr Communicating hydrocephalus from subarachnoid bleeding. J Neurosurg. 1956 Nov;13(6):546–566. doi: 10.3171/jns.1956.13.6.0546. [DOI] [PubMed] [Google Scholar]
- FREEMAN J. G. Acute intermittent porphyria; associated psychiatric symptoms treated by electroshock. Proc Staff Meet Mayo Clin. 1951 Oct 24;26(22):401–406. [PubMed] [Google Scholar]
- Freeman J. M., Finkelstein J. D., Mudd S. H. Folate-responsive homocystinuria and "schizophrenia". A defect in methylation due to deficient 5,10-methylenetetrahydrofolate reductase activity. N Engl J Med. 1975 Mar 6;292(10):491–496. doi: 10.1056/NEJM197503062921001. [DOI] [PubMed] [Google Scholar]
- Gangadhar B. N., Keshavan M. S., Goswami U., Rao T. V. Cortical venous thrombosis presenting as catatonia: a clinicopathologic report. J Clin Psychiatry. 1983 Mar;44(3):109–110. [PubMed] [Google Scholar]
- Gelenberg A. J., Mandel M. R. Catatonic reactions to high-potency neuroleptic drugs. Arch Gen Psychiatry. 1977 Aug;34(8):947–950. doi: 10.1001/archpsyc.1977.01770200085010. [DOI] [PubMed] [Google Scholar]
- Gelenberg A. J. The catatonic syndrome. Lancet. 1976 Jun 19;1(7973):1339–1341. doi: 10.1016/s0140-6736(76)92669-6. [DOI] [PubMed] [Google Scholar]
- Good M. I. Catatonialike symptomatology and withdrawal dyskinesias. Am J Psychiatry. 1976 Dec;133(12):1454–1456. doi: 10.1176/ajp.133.12.1454. [DOI] [PubMed] [Google Scholar]
- Granato J. E., Stern B. J., Ringel A., Karim A. H., Krumholz A., Coyle J., Adler S. Neuroleptic malignant syndrome: successful treatment with dantrolene and bromocriptine. Ann Neurol. 1983 Jul;14(1):89–90. doi: 10.1002/ana.410140117. [DOI] [PubMed] [Google Scholar]
- Hanson G. D., Brown M. J. Waxy flexibility in a postpartum woman--a case report and review of the catatonic syndrome. Psychiatr Q. 1973;47(1):95–103. doi: 10.1007/BF01562900. [DOI] [PubMed] [Google Scholar]
- Henderson V. W., Wooten G. F. Neuroleptic malignant syndrome: a pathogenetic role for dopamine receptor blockade? Neurology. 1981 Feb;31(2):132–137. doi: 10.1212/wnl.31.2.132. [DOI] [PubMed] [Google Scholar]
- Janowsky D. S., el-Yousel M. K., Davis J. M., Sekerke H. J. Provocation of schizophrenic symptoms by intravenous administration of methylphenidate. Arch Gen Psychiatry. 1973 Feb;28(2):185–191. doi: 10.1001/archpsyc.1973.01750320023004. [DOI] [PubMed] [Google Scholar]
- Kim C. H., Perlstein M. A. Encephalitis with catatonic schizophrenic symptoms. IMJ Ill Med J. 1970 Nov;138(5):503–507. [PubMed] [Google Scholar]
- Koehler K., Jakumeit U. Subacute sclerosing panencephalitis presenting as Leonhard's speech-prompt catatonia. Br J Psychiatry. 1976 Jul;129:29–31. doi: 10.1192/bjp.129.1.29. [DOI] [PubMed] [Google Scholar]
- Kramer M. S. Menstrual epileptoid psychosis in an adolescent girl. Am J Dis Child. 1977 Mar;131(3):316–317. doi: 10.1001/archpedi.1977.02120160070012. [DOI] [PubMed] [Google Scholar]
- MAY R. H. Catatonic-like states following phenothiazine therapy. Am J Psychiatry. 1959 Jun;115(12):1119–1120. doi: 10.1176/ajp.115.12.1119. [DOI] [PubMed] [Google Scholar]
- METTLER F. A. Perceptual capacity, functions of the corpus striatum and schizophrenia. Psychiatr Q. 1955;29(1):89–111. doi: 10.1007/BF01567442. [DOI] [PubMed] [Google Scholar]
- Malamud N. Psychiatric disorder with intracranial tumors of limbic system. Arch Neurol. 1967 Aug;17(2):113–123. doi: 10.1001/archneur.1967.00470260003001. [DOI] [PubMed] [Google Scholar]
- Matthews W. B. Multiple sclerosis presenting with acute remitting psychiatric symptoms. J Neurol Neurosurg Psychiatry. 1979 Sep;42(9):859–863. doi: 10.1136/jnnp.42.9.859. [DOI] [PMC free article] [PubMed] [Google Scholar]
- NEWMANN M. A. Periventricular diffuse pinealoma: report of a case with clinical features of catatonic schizophrenia. J Nerv Ment Dis. 1955 Mar;121(3):193–204. [PubMed] [Google Scholar]
- Offenstadt G., Bienvenu M. P., Héricord P., Tawill S., Amstutz P. Catatonie grave, schizophrénie et coproporphyrie héréditaire. Sem Hop. 1980 Nov 8;56(41-42):1727–1730. [PubMed] [Google Scholar]
- Raskin D. E., Frank S. W. Herpes encephalitis with catatonic stupor. Arch Gen Psychiatry. 1974 Oct;31(4):544–546. doi: 10.1001/archpsyc.1974.01760160084017. [DOI] [PubMed] [Google Scholar]
- Read S. L. Catatonia in thrombotic thrombocytopenic purpura: case report. J Clin Psychiatry. 1983 Sep;44(9):343–344. [PubMed] [Google Scholar]
- Ruff R. L., Russakoff L. M. Catatonia with frontal lobe atrophy. J Neurol Neurosurg Psychiatry. 1980 Feb;43(2):185–187. doi: 10.1136/jnnp.43.2.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SCHWAB J. J., BARROW M. V. A REACTION TO ORGANIC FLUORIDES SIMULATING CLASSICAL CATATONIA. Am J Psychiatry. 1964 Jun;120:1196–1197. doi: 10.1176/ajp.120.12.1196. [DOI] [PubMed] [Google Scholar]
- Schaumburg H. H., Suzuki K. Non-specific familial presenile dementia. J Neurol Neurosurg Psychiatry. 1968 Oct;31(5):479–486. doi: 10.1136/jnnp.31.5.479. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shah P., Kaplan S. L. Catatonic symptoms in a child with epilepsy. Am J Psychiatry. 1980 Jun;137(6):738–739. doi: 10.1176/ajp.137.6.738. [DOI] [PubMed] [Google Scholar]
- Sher A., Andersen J. M., Bhatia S. C. Primidone-induced catatonic schizophrenia. Drug Intell Clin Pharm. 1983 Jul-Aug;17(7-8):551–552. doi: 10.1177/106002808301700715. [DOI] [PubMed] [Google Scholar]
- Solomon J. G. Distinguishing catatonia: a case report. Psychosomatics. 1978 May;19(5):299, 301, 305-7. doi: 10.1016/S0033-3182(78)70979-5. [DOI] [PubMed] [Google Scholar]
- Steinman T. I., Yager H. M. Catatonia in uremia. Ann Intern Med. 1978 Jul;89(1):74–75. doi: 10.7326/0003-4819-89-1-74. [DOI] [PubMed] [Google Scholar]
- Sullivan B. J., Dickerman J. D. Steroid-associated catatonia: report of a case. Pediatrics. 1979 Apr;63(4):677–679. [PubMed] [Google Scholar]
- Taylor M. A., Abrams R. Catatonia. Prevalence and importance in the manic phase of manic-depressive illness. Arch Gen Psychiatry. 1977 Oct;34(10):1223–1225. doi: 10.1001/archpsyc.1977.01770220105012. [DOI] [PubMed] [Google Scholar]
- Taylor M. A., Abrams R. The phenomenology of mania. A new look at some old patients. Arch Gen Psychiatry. 1973 Oct;29(4):520–522. doi: 10.1001/archpsyc.1973.04200040066011. [DOI] [PubMed] [Google Scholar]
- Thompson G. N. Cerebral lesions simulating schizophrenia: three case reports. Biol Psychiatry. 1970 Jan;2(1):59–64. [PubMed] [Google Scholar]
- Thompson S. W., Greenhouse A. H. Petit mal status in adults. Ann Intern Med. 1968 Jun;68(6):1271–1279. doi: 10.7326/0003-4819-68-6-1271. [DOI] [PubMed] [Google Scholar]
- Tippin J., Dunner F. J. Biparietal infarctions in a patient with Catatonia. Am J Psychiatry. 1981 Oct;138(10):1386–1387. doi: 10.1176/ajp.138.10.1386. [DOI] [PubMed] [Google Scholar]
- Warner A. M., Pierozynski G. Pseudocatatonia associated with abuse of amphetamine and cannabis. Postgrad Med. 1977 Jan;61(1):275–277. doi: 10.1080/00325481.1977.11714529. [DOI] [PubMed] [Google Scholar]
- Waziri R. Catatonia. JAMA. 1977 Dec 5;238(23):2495–2496. doi: 10.1001/jama.1977.03280240041013. [DOI] [PubMed] [Google Scholar]
- Weddington W. W., Jr, Marks R. C., Verghese J. P. Disulfiram encephalopathy as a cause of the catatonia syndrome. Am J Psychiatry. 1980 Oct;137(10):1217–1219. doi: 10.1176/ajp.137.10.1217. [DOI] [PubMed] [Google Scholar]
- Weinberger D. R., Kelly M. J. Catatonia and malignant syndrome: a possible complication of neuroleptic administration. Report of a case involving haloperidol. J Nerv Ment Dis. 1977 Oct;165(4):263–268. [PubMed] [Google Scholar]
- Woods S. W. Catatonia in a patient with subdural hematomas. Am J Psychiatry. 1980 Aug;137(8):983–984. doi: 10.1176/ajp.137.8.983. [DOI] [PubMed] [Google Scholar]
- de Morsier G. Trois cas de tumeur du septum, développées dans le ventricule latéral, avec troubles du comportement. "Schizophrénie" et tumeur cérébrale. Encephale. 1968 Mar-Apr;57(2):181–193. [PubMed] [Google Scholar]
