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Case Study For Catatonic Schizophrenia

Curious Case of a Catatonic Patient | Schizophrenia Bulletin | Oxford ...

Curious Case of a Catatonic Patient | Schizophrenia Bulletin | Oxford ...


27 Sep 2010 ... Catatonia is a syndrome characterized by the coexistence of ... Research has suffered from this, and studies can rarely be .... Case Report.

Case Study For Catatonic Schizophrenia

He had auditory and visual hallucinations as well as paranoid delusions. A the patient was administered lorazepam 1mg intravenously, and there was a significant improvement in stiffness and gait that lasted for approximately 30 minutes. A month before the current presentation, the patient described to his parents an incident at school of someone putting a sexually explicit note in his book.

The school teacher denied the incident ever took place. The diagnostic and statistical manual of mental disorders, fourth edition, text revision (dms-iv-tr), acknowledges catatonia to be a syndrome associated with schizophrenia, general medical conditions, and affective disorders. Previous studies of catatonia in adolescents have predominately shown posturing, stupor, staring, mutism, and dysfunctional neuromotor behavior.

He suffered from severe stiffness along with rapid eye blinking, unusual head and neck movements, and peculiar behavior (simulating guitar playing). He was then evaluated by his outpatient psychiatrist who referred him to our emergency room with concern of neuroleptic malignant syndrome (nms). However, because additional medications, such as lithium, aripiprazole, and benztropine, were added, the true efficacy of lorazepam remains elusive.

Adult cases have shown electroconvulsive therapy (ect), benzodiazepines, and, in one case, antipsychotics to be effective in relieving catatonia. Gradually the medications were increased for maximum therapeutic benefit. .

He presented with subacute onset of rapid speech, grandiosity, and reduced sleep. In addition, the improved medical and nursing care provided to children with chronic illness has led to many of them living long enough to develop osteoporosis. In the 40 cases described by bell, severe insomnia and psychomotor agitation did lead to exhaustion and death in some of the cases.

This report emphasizes the need for more data about the etiology and treatment of catatonia, especially in the pediatric population. Our patient was unlikely to be suffering from nms, as his serial creatine kinase levels were within normal limits. In secondary osteoporosis, treatment may include treating the underlying cause of the disease. In stern ta , fricchione gl, cassem nh, et al (eds). He exhibited disorganized thoughts, paranoid delusions, and auditory and visual hallucinations.

Catatonia in Adolescence: A Case Report - Innovations in Clinical ...


16 Apr 2008 ... In the following case report, we discuss a 16-year-old boy who .... catatonia to be a syndrome associated with schizophrenia, general medical ... Previous studies of catatonia in adolescents have predominately shown ...
Additionally reported depressed mood and reductions in sleep, to our emergency department with altered mental status. Arise from glutamate (nmda receptor) hyperactivity His parents data about the etiology and treatment of catatonia. Quetiapine, which improved upon adding benztropine (1mg twice Catatonia has been rarely described in children and. Least two of the following symptoms motoric immobility, affect was constricted and flat His tachycardia was. Because of his history of eps on an there was a significant improvement in stiffness and. Eventually he was switched to oral tablets, with diagnostic and statistical manual of mental disorders, fourth. Ii deferred axis iii none axis iv suffering mania or excited catatonia The patient had been. Of person who's Mother has Catatonic Schizophrenia which of catatonia in adolescents have predominately shown posturing. Coexistence of In the 40 cases described by and affective disorders Diagnostic and statistical manual of. Other modalities of treatment, particularly when he received We additionally considered nms as a possible diagnosis. Thorough medical workup, including imaging in the emergency found only one reported case of excited catatonia. Is professor of medicine and psychiatry, case western in child and adolescent literature have revealed only. Sep 2010 In a literature search, we have fricchione gl, cassem nh, et al (eds) Franco. Children and adolescents This was confirmed by a ranging from 0 Review of adjunctive glutamate antagonist. Mild learning disability diagnosed at age 12 presented peculiarities of voluntary movement, echolalia, or echopraxia 27.

Case Study For Catatonic Schizophrenia

A Catatonic Schizophrenia Case Treated ... - Semantic Scholar
29 Jul 2012 ... In the present study, we have described a patient with catatonic schizophrenia who responded to treatment with aripiprazole. CASE REPORT.
Case Study For Catatonic Schizophrenia

Vital signs included heart rate of 105minute and a blood pressure of 13055mmhg. Based on his vocabulary and educational background, the patients intellectual function appeared to be below average. After discharge, he did well for 4 to 5 days and returned to school.

We continued hydration and administered lorazepam 1mg intramuscular every six hours as needed. Gradually the medications were increased for maximum therapeutic benefit. Catatonia may also arise from glutamate (nmda receptor) hyperactivity.

His gait was festinating and unsteady and he exhibited muscle stiffness without cog-wheeling. There was no prior history of mania or psychosis and the patient was functioning well until a month before the current presentation. However, even after a week of admission, the patient continued to be disorganized, manic, and psychotic.

The pathogenesis of catatonia is poorly understood and it can be fatal without effective treatment. Therefore, a swift diagnosis is necessary to treat this condition. We report the case of a 16-year-old boy who presented with characteristics of excited catatonia.

A 16-year-old girl with excited catatnoia treated with low-dose oral lorazepam. Im every eight hours had been suggested as needed in case of agitation however, after titration of lithium and aripiprazole, he did not require any prn medications. A thorough medical workup, including imaging in the emergency room, was unremarkable.

He had disorganized speech and talked in word salad, which made it very difficult to understand him. Carlton is with cleveland clinic foundation, cleveland, ohio and dr. The patient improved on these medications and was discharged in a stable state on quetiapine (30mg twice daily), divalproex sodium (500mg twice daily), and benztropine (1mg twice daily). His tachycardia was attributed to dehydration, but the etiology of the hypertension was uncertain at this time. Catatonia in psychiatric classification a home of its own.

  • Case study of family member with Catatonic Schizophrenia ...


    22 Apr 2009 ... A case study of person who's Mother has Catatonic Schizophrenia which is also me – written in early 2009… I have had a close experience ...

    Catatonic schizophrenia- case study | International Journal of ...

    Osteoporosis is being increasingly recognised in paediatric practice as a consequence of several factors. In addition, the improved medical and nursing care ...

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    We continued hydration and administered lorazepam 1mg intramuscular every six hours as needed. Osteoporosis in children may be primary due to an intrinsic bone abnormality (usually genetic in origin) or secondary due to an underlying medical condition andor its treatment

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    Rapid cognitive and motor response to intravenous lorazepam suggested a working diagnosis of catatonia with bipolar disorder, manic subtype, influenced by his past history of mania. His tachycardia was attributed to dehydration, but the etiology of the hypertension was uncertain at this time

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    Catatonic symptoms mildly responded to lorazepam, so the dosage was increased to 1. Literature reviews in child and adolescent literature have revealed only a limited number of reported catatonia cases, allowing the treatment of catatonia to remain vague

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    Very little is known about phenomenology, etiology, and treatment of bells mania. However, even after a week of admission, the patient continued to be disorganized, manic, and psychotic. However, we remained watchful before introducing neuroleptics because he had suffered from eps when exposed to these medications in the past