Recurrent Idiopathic Catatonia: Implications beyond the Diagnostic and Statistical Manual of Mental Disorders 5th Edition
Clinical Psychopharmacology and Neuroscience
; : 218-221, 2015.
Article
em En
| WPRIM
| ID: wpr-121252
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Esquizofrenia
/
Antipsicóticos
/
Catatonia
/
Classificação
/
Manual Diagnóstico e Estatístico de Transtornos Mentais
/
Estupor
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Transtornos Mentais
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Síndrome Maligna Neuroléptica
Tipo de estudo:
Diagnostic_studies
/
Guideline
Idioma:
En
Revista:
Clinical Psychopharmacology and Neuroscience
Ano de publicação:
2015
Tipo de documento:
Article