Recurrent Idiopathic Catatonia: Implications beyond the Diagnostic and Statistical Manual of Mental Disorders 5th Edition
Clinical Psychopharmacology and Neuroscience
;
: 218-221, 2015.
Article
in English
| WPRIM
| ID: wpr-121252
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Schizophrenia
/
Antipsychotic Agents
/
Catatonia
/
Classification
/
Diagnostic and Statistical Manual of Mental Disorders
/
Stupor
/
Mental Disorders
/
Neuroleptic Malignant Syndrome
Type of study:
Diagnostic study
/
Practice guideline
Language:
English
Journal:
Clinical Psychopharmacology and Neuroscience
Year:
2015
Type:
Article
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