Recurrent Idiopathic Catatonia: Implications beyond the Diagnostic and Statistical Manual of Mental Disorders 5th Edition.
10.9758/cpn.2015.13.2.218
- Author:
Stanley N CAROFF
1
;
Irene HURFORD
;
Henry R BLEIER
;
Gregg E GORTON
;
E Cabrina CAMPBELL
Author Information
1. Philadelphia Veterans Affairs Medical Center and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. stanley.caroff@va.gov
- Publication Type:Case Report
- Keywords:
Catatonia;
Periodic catatonia;
Schizophrenia;
Cycloid psychosis;
Antipsychotic agents;
Neuroleptic malignant syndrome
- MeSH:
Antipsychotic Agents;
Catatonia*;
Classification;
Diagnostic and Statistical Manual of Mental Disorders*;
Mental Disorders;
Neuroleptic Malignant Syndrome;
Schizophrenia;
Stupor
- From:Clinical Psychopharmacology and Neuroscience
2015;13(2):218-221
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
