Catatonia: A Clinician's Guide to Diagnosis and Treatment

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This guide teaches the reader how to identify and treat catatonia successfully, and describes its neurobiology. Although a common problem & responsive to treatment, catatonia is often overlooked. Teaches the reader how to identify and treat catatonia successfully, and describes its neurobiology.

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Editorial Reviews

Doody's Review Service
Reviewer: William Scheftner, MD (Rush University Medical Center)
Description: This is a systematic exposition of catatonia beginning with its historical descriptions, covering its changes through time and nomenclature, then progressing to clinical features including associated psychopathology, course, research measurement, differential diagnosis, past and current treatments, and pertinent neurology. It is studded with well chosen clinical vignettes from the authors' and others' experience which permit one to vicariously obtain a wealth of clinical experience.
Purpose: "This book...describes the features of catatonia, teaches the reader how to identify and treat the syndrome successfully, and describes its neurobiology." The book fulfills its purpose superbly.
Audience: This book is clearly meant for practicing psychiatrists, neurologists, emergency room physicians, and their residents whose interest has been stimulated by a clinical experience. The authors are world renown neuropsychiatrists whose writings are well read and respected.
Features: The content follows a logical sequence beginning with the 1583 description and progressing through Kahlbaum and later phenomenologists followed by clinical descriptions of each element and how the syndrome appears under other names. Its differential diagnosis, including structural and metabolic conditions associated with catatonia, is then discussed. Catatonia's place in psychopathology, associated psychopathology, research measurement, and classification systems receive a thorough discussion. A review of past and current treatment follows with a discussion of the pathophysiology as inferred from pharmacologic interventions as well as functional MRI and SPECT studies. A review chapter completes the book. Its clinical vignettes are well chosen and further the reader's interest as well as illustrate the discussion point. The book lacks illustrations and visual interest.
Assessment: There are no publications to which I can compare this book. In general, it is a book for clinicians who wish to enhance their knowledge of catatonia and feel confident they are treating it as the experts in the field would suggest. The subtitle, "A Clinicians' Guide to Diagnosis and Treatment" is an apt description. Since the severe, life-threatening forms of catatonia are infrequent, this book will serve as an excellent source for consultation when faced with neuroleptic malignant syndrome, delirious mania, classical catatonia, or other presentations of the syndrome. It comprehensively summarizes and discusses the collective wisdom found in the literature as well as in the practice of these two renowned clinical research scientists. The book succeeds in its purpose and I highly recommend it for those who treat acutely ill patients, particularly in an inpatient setting.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780521822268
  • Publisher: Cambridge University Press
  • Publication date: 3/1/2003
  • Pages: 274
  • Product dimensions: 6.85 (w) x 9.72 (h) x 0.83 (d)

Table of Contents

List of patient vignettes
Chronology of catatonia concepts
1 Catatonia: A history 1
Karl Kahlbaum (1828-1899) 3
Catatonia purloined: Emil Kraepelin 7
Other commentators 7
Catatonia disappears 10
Interest revives 11
Present status 15
2 Signs of catatonia are identifiable 19
Mutism 21
Stupor 22
Excitement 23
Features demonstrated in examination 25
Catatonic spectrum behaviors 30
3 The many faces of catatonia 33
Introduction 33
Subtypes of catatonia 34
Retarded catatonia (Kahlbaum syndrome) 38
Malignant catatonia 39
Neuroleptic malignant syndrome variant of malignant catatonia 45
Delirious mania, excited catatonia, and oneiroid state 51
Mixed affective states 57
Periodic catatonia 58
Toxic serotonin syndrome 63
Benign stupor 65
Primary akinetic mutism 66
4 The differential diagnosis of catatonia 71
Laboratory tests and catatonia 72
Conditions in which catatonia is expressed 75
Conditions that may be mistaken for catatonia 105
5 Catatonia is measurable and common 114
DSM classification of catatonia 114
An alternative classification for catatonia 116
Frequency of identification 120
Associated psychopathology 125
Factor analytic studies 127
Rating scales 129
6 Past treatments for catatonia 133
Fever therapy 134
Barbiturates 137
Benzodiazepines 139
Insulin coma therapy 140
Convulsive therapy 141
Other treatments of catatonia 143
7 Management of catatonia today 147
Acute treatment 148
Maintenance treatment protocol 167
Prophylaxis 171
8 The neurology of catatonia 177
Motor system dysfunction 179
Neurochemical aberrations 185
Epilepsy model 187
Synthesis and clinical implications 189
9 Back to the future 193
Catatonia is a stable syndrome 193
Catatonia is common 194
Catatonia has many faces 195
Neuroleptic malignant syndrome is malignant catatonia 195
Catatonia is not usually associated with schizophrenia 196
Catatonia is a good-prognosis condition 197
Catatonia is a syndrome of motor dysregulation 198
Future studies 199
App. I Rating scale of catatonia 204
App. II Examination for catatonia 210
References 211
Index 253
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