Catatonia: A Clinician's Guide to Diagnosis and Treatment

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Cambridge University Press, Mar 20, 2003 - Medical - 256 pages
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Catatonia is a syndrome of motor dysregulation found in as many as 10% of acutely ill psychiatric inpatients. Treatments are well defined, and when used, catatonia has an excellent prognosis. This book, by two leading neuropsychiatrists, describes the features of catatonia, teaches the reader how to identify and treat the syndrome successfully, and describes its neurobiology. Patient vignettes from the authors' practices, and many from the classical literature, illustrate the principles of diagnosing and treating patients with catatonia. It is an essential clinical reference for psychiatrists and neurologists.
 

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Contents

Catatonia A history
1
Karl Kahlbaum 18281899
3
Emil Kraepelin
7
Catatonia disappears
10
Interest revives
11
Present status
15
Endnotes
16
Signs of catatonia are identifiable
19
Factor analytic studies
127
Rating scales
129
Endnotes
130
Past treatments for catatonia
133
Fever therapy
134
Barbiturates
137
Benzodiazepines
139
Insulin coma therapy
140

Mutism
21
Stupor
22
Excitement
23
Features demonstrated in examination
25
Catatonic spectrum behaviors
30
Endnotes
31
The many faces of catatonia
33
Subtypes of catatonia
34
Retarded catatonia Kahlbaum syndrome
38
Malignant catatonia
39
Neuroleptic malignant syndrome variant of malignant catatonia
45
Delirious mania excited catatonia and oneiroid state
51
Mixed affective states
57
Periodic catatonia
58
Toxic serotonin syndrome
63
Benign stupor
65
Primary akinetic mutism
66
Endnotes
67
The differential diagnosis of catatonia
71
Laboratory tests and catatonia
72
Conditions in which catatonia is expressed
75
Conditions that may be mistaken for catatonia
105
Endnotes
110
Catatonia is measurable and common
114
An alternative classification for catatonia
116
Frequency of identification
120
Associated psychopathology
125
Convulsive therapy
141
Other treatments of catatonia
143
Endnotes
145
Management of catatonia today
147
Acute treatment
148
Maintenance treatment protocol
167
Prophylaxis
171
Endnotes
174
The neurology of catatonia
177
Motor system dysfunction
179
Neurochemical aberrations
185
Epilepsy model
187
Synthesis and clinical implications
189
Endnotes
191
Back to the future
193
Catatonia is common
194
Catatonia has many faces
195
Catatonia is not usually associated with schizophrenia
196
Catatonia is a goodprognosis condition
197
Catatonia is a syndrome of motor dysregulation
198
Future studies
199
Endnotes
203
Appendices
204
Examination for catatonia
210
References
211
Index
253
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