Psychiatr. praxi. 2024;25(2):99-102 | DOI: 10.36290/psy.2024.016
Malignant catatonia in a patient with undifferentiated schizophrenia
- Psychiatrická klinika, FN Brno
Malignant catatonia is a rare and life-threatening disease. The current ICD or DSM diagnostic systems do not define diagnostic criteria for malignant catatonia, however it is generally defined as a form of catatonia with symptoms of autonomic instability. Without treatment, malignant catatonia carries a high mortality rate, so early diagnosis and treatment is absolutely essential for the patient's prognosis. The preferred therapeutic approach involves the use of benzodiazepines and electroconvulsive therapy, on the other hand, antipsychotic should not be used in treatment of malignant catatonia. Due to the potential for serious somatic complications, consistent monitoring and supportive therapy are also necessary. This case report describes a case of malignant catatonia in a patient previously diagnosed with undifferentiated schizophrenia and a brief summary of current insights into treatment of this condition.
Keywords: malignant catatonia, electroconvulsive therapy, schizophrenia, neuropsychiatric syndrome.
Accepted: May 29, 2024; Published: June 3, 2024 Show citation
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