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Catatonia in Neurologic and Psychiatric Patients at a Tertiary Neurological Center

This study describes the prevalence, phenomenology, treatment, and outcome of neurological patients and psychiatric patients with catatonia at a tertiary neurological center. Clinical variables included nosological diagnoses and complications. Admission length and days with catatonia were used as ou...

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Bibliographic Details
Published in:The journal of neuropsychiatry and clinical neurosciences 2016-04, Vol.28 (2), p.124-130
Main Authors: Espinola-Nadurille, Mariana, Ramirez-Bermudez, Jesus, Fricchione, Gregory L, Ojeda-Lopez, M. Carmen, Perez-González, Andres F, Aguilar-Venegas, Luis C
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Language:English
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Summary:This study describes the prevalence, phenomenology, treatment, and outcome of neurological patients and psychiatric patients with catatonia at a tertiary neurological center. Clinical variables included nosological diagnoses and complications. Admission length and days with catatonia were used as outcome measures. Of 2,044 patients who were evaluated prospectively, 68 (3.32%) had catatonia, 42 (61.7%) were neurological patients, 19 (27.9%) were psychiatric patients, and 7 (10.2%) had drug-related diagnoses. Of all patients, the ratio of neurological to psychiatric patients was 3:1. Encephalitis was the most common diagnosis (N=26 [38.2%]), followed by schizophrenia (N=12 [17.6%]). Psychiatric patients exhibited a stuporous type of catatonia (15 [83.3%] versus 14 [33.3%], p>0.001), whereas neurological patients exhibited a mixed form of catatonia (25 [59.5%] versus 1 [5.6], p
ISSN:0895-0172
1545-7222
DOI:10.1176/appi.neuropsych.15090218