Agitation after minor trauma: combativeness as a cardinal catatonic feature
| Autor: | Elmar Hendrik Post, Maaike van der Erf, Jurjen J. Luykx, Jan Van Hecke |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Psychomotor agitation Catatonia media_common.quotation_subject Poison control Urinalysis Lorazepam Article Diagnosis Differential mental disorders Injury prevention medicine Humans Hypnotics and Sedatives Psychiatry Psychomotor Agitation media_common business.industry Electroencephalography General Medicine Middle Aged medicine.disease Magnetic Resonance Imaging Traumatic injury Feeling Wounds and Injuries Female Differential diagnosis medicine.symptom Tomography X-Ray Computed business medicine.drug |
| Zdroj: | Case Reports. 2013:bcr2012008217-bcr2012008217 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2012-008217 |
| Popis: | Catatonia is a syndrome of motor dysregulation, usually associated with psychiatric, neurological, systemic and drug-related diseases. Retarded and excited types exist, both of which often go unrecognised in clinical practice. We describe a 64-year-old woman who gradually developed insomnia, started communicating less, complained of feeling restless and ended up injuring relatives. Initiation of symptoms followed a fibula fracture. The patient was diagnosed with excited-type catatonia with prominent combativeness because of minor trauma and rapidly recovered after lorazepam treatment instatement. Our case demonstrates that catatonia can follow minor traumatic injury and how excited-type catatonic features may go unrecognised in general practitioner and specialist settings. Moreover, we show that catatonia may be recurrent, necessitating long-term treatment and very gradual lorazepam tapering. |
| Databáze: | OpenAIRE |
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