Catatonia: A Clinician's Guide to Diagnosis and TreatmentCatatonia 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. |
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 |
| 211 | |
| 253 | |
Other editions - View all
Catatonia: A Clinician's Guide to Diagnosis and Treatment Max Fink,Michael Alan Taylor Limited preview - 2006 |
Common terms and phrases
abnormal acute adolescents akinetic mutism American Psychiatric Association amobarbital anticonvulsant antipsychotic drugs automatic obedience basal ganglia behavior benzodiazepines Biol Psychiatry Bleuler brain Bräunig Caroff cata catalepsy catatonia catatonic features catatonic patients catatonic schizophrenia catatonic signs classification clinical condition criteria dantrolene delirious mania delirium dementia praecox depression described developed diagnosis disease dopamine doses echopraxia effective electroconvulsive therapy epilepsy episode examination excitement exhibited fever Fink forms of catatonia Fricchione frontal lobe haloperidol hospital identified induced intravenous Kahlbaum Katatonie Kraepelin lesions lithium lorazepam malignant catatonia manic patients manic-depressive illness MC/NMS Meduna metabolic mood disorder movements mute negativism Neurol neuroleptic malignant syndrome neurologic Northoff onset parietal lobe patients with catatonia periodic catatonia Petrides posturing Psychiatry psychosis psychotic rating scale relieved response rigidity Rosebush serotonin syndrome serum signs of catatonia speech stereotypes Stöber stupor subtype symptoms thalamic toxic treated treatment waxy flexibility