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Catatonia: Development of a neuropsychiatric entanglement through a clinical case

Published online by Cambridge University Press:  19 July 2023

M. Chtibi ,
H. Zarouf ,
H. Berrada ,
S. Belbachir  and
A. Ouanass
M. Chtibi*
Affiliation:
Arrazi University Psychiatric Hospital of Salé, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco
H. Zarouf
Affiliation:
Arrazi University Psychiatric Hospital of Salé, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco
H. Berrada
Affiliation:
Arrazi University Psychiatric Hospital of Salé, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco
S. Belbachir
Affiliation:
Arrazi University Psychiatric Hospital of Salé, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco
A. Ouanass
Affiliation:
Arrazi University Psychiatric Hospital of Salé, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco
*
*Corresponding author.

Abstract

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Introduction

Catatonia is a transnosographic and potentially fatal syndrome, most often associated with mood disorders or schizophrenia, but can also develop in autistic disorders, dementia, as well as in general medical conditions such as epilepsy, autoimmune encephalitis, hypercalcemia, hepatic encephalopathy, or diabetic ketoacidosis.

Objectives

the objective is to understand the semiology and treatment of catatonic syndrome in a clinical case

Methods

Clinical case

Results

The work we present is based on a clinical case of a patient with schizophrenia presenting a catatonic syndrome, of which a neurological cause was first evoked but after clinical investigations the diagnosis of schizophrenia was retained and currently the patient is stabilized on Clozapine. It is imperative to recognize a catatonic syndrome in order to treat it quickly, as some of the etiologies that cause this syndrome and the consequences of the syndrome itself can be life-threatening.

Conclusions

Catatonia remains a subject of research for centuries, the diagnosis is clinical, based on a set of criteria grouped in the DSM5, its etiologies are psychiatric and organic including neurological. Rapid diagnostic and therapeutic management is essential to avoid life-threatening complications.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1078
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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