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Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review

Catatonia, originally conceptualised by Kahlbaum in 1868, is a neuropsychiatric condition that has been found to occur concomitantly with several organic and psychiatric conditions. Starting from the era of Kraepelin and Bleuler, this condition was faultily linked with schizophrenia alone; however,...

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Autores principales: Nath, Santanu, Bhoi, Rosali, Mishra, Biswaranjan, Padhy, Susanta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420649/
https://www.ncbi.nlm.nih.gov/pubmed/34595400
http://dx.doi.org/10.1136/gpsych-2021-100494
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author Nath, Santanu
Bhoi, Rosali
Mishra, Biswaranjan
Padhy, Susanta
author_facet Nath, Santanu
Bhoi, Rosali
Mishra, Biswaranjan
Padhy, Susanta
author_sort Nath, Santanu
collection PubMed
description Catatonia, originally conceptualised by Kahlbaum in 1868, is a neuropsychiatric condition that has been found to occur concomitantly with several organic and psychiatric conditions. Starting from the era of Kraepelin and Bleuler, this condition was faultily linked with schizophrenia alone; however, over time, greater associations have been found between catatonia and mood disorders. Despite the availability of several reports supporting this finding, there is a relative paucity of studies that specifically focus on catatonia to be the first symptom manifestation heralding a subsequent mood episode. In addition, there is scant literature to determine whether there are specific presentations of catatonia that show greater associations with mood disorders and whether these signs and symptoms recur in a stereotypical fashion in the subsequent mood episodes in the lifetime of an individual. We hereby report two cases with a diagnosis of mood disorders (bipolar disorder and recurrent depressive disorder) who had catatonia as the initial symptom not only at presentation but also at subsequent episodes. The report emphasises that recurrent catatonia can be the initial clinical manifestation of an underlying mood episode, which appears otherwise masked behind the catatonic presentation. These catatonic symptoms can be interestingly similar in all the subsequent episodes. A detailed clinical evaluation is thus warranted after catatonia has been duly treated to provide a holistic management.
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spelling pubmed-84206492021-09-29 Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review Nath, Santanu Bhoi, Rosali Mishra, Biswaranjan Padhy, Susanta Gen Psychiatr Case Report Catatonia, originally conceptualised by Kahlbaum in 1868, is a neuropsychiatric condition that has been found to occur concomitantly with several organic and psychiatric conditions. Starting from the era of Kraepelin and Bleuler, this condition was faultily linked with schizophrenia alone; however, over time, greater associations have been found between catatonia and mood disorders. Despite the availability of several reports supporting this finding, there is a relative paucity of studies that specifically focus on catatonia to be the first symptom manifestation heralding a subsequent mood episode. In addition, there is scant literature to determine whether there are specific presentations of catatonia that show greater associations with mood disorders and whether these signs and symptoms recur in a stereotypical fashion in the subsequent mood episodes in the lifetime of an individual. We hereby report two cases with a diagnosis of mood disorders (bipolar disorder and recurrent depressive disorder) who had catatonia as the initial symptom not only at presentation but also at subsequent episodes. The report emphasises that recurrent catatonia can be the initial clinical manifestation of an underlying mood episode, which appears otherwise masked behind the catatonic presentation. These catatonic symptoms can be interestingly similar in all the subsequent episodes. A detailed clinical evaluation is thus warranted after catatonia has been duly treated to provide a holistic management. BMJ Publishing Group 2021-09-03 /pmc/articles/PMC8420649/ /pubmed/34595400 http://dx.doi.org/10.1136/gpsych-2021-100494 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Case Report
Nath, Santanu
Bhoi, Rosali
Mishra, Biswaranjan
Padhy, Susanta
Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review
title Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review
title_full Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review
title_fullStr Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review
title_full_unstemmed Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review
title_short Does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? A case series with literature review
title_sort does recurrent catatonia manifest in a similar fashion in all the episodes of mood disorder? a case series with literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8420649/
https://www.ncbi.nlm.nih.gov/pubmed/34595400
http://dx.doi.org/10.1136/gpsych-2021-100494
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