Catatonia
Clinical Monograph: Catatonia in Medically Ill Patients
An Evidence-Based Medicine (EBM) Monograph
for Psychosomatic Medicine Practice
View the entire Catatonia monograph as PDF 
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Published jointly by the:
and
Version 4.17.2015 |
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Authors/Workgroup:
Lex Denysenko
Oliver Freudenreich
Kemuel Philbrick
Thomas Penders
Paula Zimbrean
Shamim Nejad
Lydia Chwastiak
Anna Dickerman
Shehzad Niazi
Jewel Shim
Wolfgang Soellner
Audrey Walker
Invited external reviewers:
Brendan Carroll
Andrew Francis
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EVIDENCE-BASED MEDICINE SUMMARY
- INTRODUCTION
- Objective and methods
- Definition and diagnostic criteria
- Differential diagnosis
- Catatonia and delirium
- Malignant catatonia
- PEDIATRIC CATATONIA
- Introduction
- Occurrence
- Co-occurrence with Autism Spectrum Disorder
- Assessment and Rating Scales
- Treatment of Pediatric Catatonia
- ADULT CATATONIA
- MEDICAL CONDITIONS ASSOCIATED WITH CATATONIA
- Anti-NMDA-receptor Encephalitis (ANRE)
- Paraneoplastic Limbic Encephalitis
- Systemic Lupus Erythematous (SLE)
- Seizures
- Brain infections
- Intracranial Mass Lesions
- Multiple Sclerosis
- Delirium (Encephalopathy)
- Glucose-6-phosphate dehydrogenase (G6PD) Deficiency
- Vitamin B12 Deficiency
- Hyponatremia
- Stroke, Dementia, and Other Brain Degeneration Disorders
- Takotsubo Cardiomyopathy
- Wilson's Disease
- Special Note on Ferropenia
- DRUG TOXIDROMES AND WITHDRAWAL SYNDROMES ASSOCIATED WITH CATATONIA
- Tacrolimus and Cyclosporine
- 3,4-methylenedioxy-N-methylamphetamine (MDMA)
- Steroids
- Antibiotics
- Disulfiram
- GABA agonist withdrawal
- Baclofen
- Dopamine antagonists
- Cocaine withdrawal
- Phencyclidine (PCP)
- Methoxetamine
- TREATMENT OF CATATONIA
- GABA agonists
- NMDA Receptor Antagonists
- Minocycline
- Antipsychotics
- ECT
- Other Treatments
- CONCLUSIONS
REFERENCES
APPENDIXES
- Recommended Readings
- Glossary of Terms
- Annotated List of Important Pharmacologic Trials
- Standardized Assessment and Work-Up
- Introduction
- Proposed Screen for Catatonia in the Medically Ill
- Assessment and Examination
- Pharmacologic Challenge
- Initial Recommendations to the Primary Service
- Definitive Treatment
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