Recurrent Idiopathic Catatonia: Implications beyond the Diagnostic and Statistical Manual of Mental Disorders 5th Edition
Autor: | Gregg E. Gorton, E. Cabrina Campbell, Henry R. Bleier, Irene Hurford, Stanley N. Caroff |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Antipsychotic agents Catatonia business.industry Catatonic stupor Case Report Disease medicine.disease Cycloid psychosis Longitudinal Course Neuroleptic malignant syndrome Behavioral Neuroscience Psychiatry and Mental health Periodic catatonia Schizophrenia medicine Pharmacology (medical) Psychiatry business |
Zdroj: | Clinical Psychopharmacology and Neuroscience |
ISSN: | 2093-4327 1738-1088 |
DOI: | 10.9758/cpn.2015.13.2.218 |
Popis: | We describe a case of recurrent, life-threatening, catatonic stupor, without evidence of any associated medical, toxic or mental disorder. This case provides support for the inclusion of a separate category of "unspecified catatonia" in the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) to be used to classify idiopathic cases, which appears to be consistent with Kahlbaum's concept of catatonia as a distinct disease state. But beyond the limited, cross-sectional, syndromal approach adopted in DSM-5, this case more importantly illustrates the prognostic and therapeutic significance of the longitudinal course of illness in differentiating cases of catatonia, which is better defined in the Wernicke-Kleist-Leonhard classification system. The importance of differentiating cases of catatonia is further supported by the efficacy of antipsychotics in treatment of this case, contrary to conventional guidelines. |
Databáze: | OpenAIRE |
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