Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia
Catatonia, originally described by Karl Kahlbaum in 1874, may be regarded as a set of clinical features found in a subtype of schizophrenia, but the syndrome may also stem from organic causes including vascular parkinsonism, brain masses, globus pallidus lesions, metabolic derangements, and pharmaco...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2013-01-01
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| Series: | Case Reports in Neurology |
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| Online Access: | http://www.karger.com/Article/FullText/346594 |
| _version_ | 1818286788802772992 |
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| author | Robert Fekete |
| author_facet | Robert Fekete |
| author_sort | Robert Fekete |
| collection | DOAJ |
| description | Catatonia, originally described by Karl Kahlbaum in 1874, may be regarded as a set of clinical features found in a subtype of schizophrenia, but the syndrome may also stem from organic causes including vascular parkinsonism, brain masses, globus pallidus lesions, metabolic derangements, and pharmacologic agents, especially first generation antipsychotics. Catatonia may include paratonia, waxy flexibility (cerea flexibilitas), stupor, mutism, echolalia, and catalepsy (abnormal posturing). A case of catatonia as a result of acute renal failure in a patient with dementia with Lewy bodies is described. This patient recovered after intravenous fluid administration and reinstitution of the atypical dopamine receptor blocking agent quetiapine, but benzodiazepines and amantadine are additional possible treatments. Recognition of organic causes of catatonia leads to timely treatment and resolution of the syndrome. |
| first_indexed | 2024-12-13T01:30:10Z |
| format | Article |
| id | doaj.art-14738d67931d4b5bb982e9f32d525c65 |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-13T01:30:10Z |
| publishDate | 2013-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-14738d67931d4b5bb982e9f32d525c652022-12-22T00:04:01ZengKarger PublishersCase Reports in Neurology1662-680X2013-01-0151101310.1159/000346594346594Renal Failure in Dementia with Lewy Bodies Presenting as CatatoniaRobert FeketeCatatonia, originally described by Karl Kahlbaum in 1874, may be regarded as a set of clinical features found in a subtype of schizophrenia, but the syndrome may also stem from organic causes including vascular parkinsonism, brain masses, globus pallidus lesions, metabolic derangements, and pharmacologic agents, especially first generation antipsychotics. Catatonia may include paratonia, waxy flexibility (cerea flexibilitas), stupor, mutism, echolalia, and catalepsy (abnormal posturing). A case of catatonia as a result of acute renal failure in a patient with dementia with Lewy bodies is described. This patient recovered after intravenous fluid administration and reinstitution of the atypical dopamine receptor blocking agent quetiapine, but benzodiazepines and amantadine are additional possible treatments. Recognition of organic causes of catatonia leads to timely treatment and resolution of the syndrome.http://www.karger.com/Article/FullText/346594Dementia with Lewy bodiesCatatoniaCatalepsy |
| spellingShingle | Robert Fekete Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia Case Reports in Neurology Dementia with Lewy bodies Catatonia Catalepsy |
| title | Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia |
| title_full | Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia |
| title_fullStr | Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia |
| title_full_unstemmed | Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia |
| title_short | Renal Failure in Dementia with Lewy Bodies Presenting as Catatonia |
| title_sort | renal failure in dementia with lewy bodies presenting as catatonia |
| topic | Dementia with Lewy bodies Catatonia Catalepsy |
| url | http://www.karger.com/Article/FullText/346594 |
| work_keys_str_mv | AT robertfekete renalfailureindementiawithlewybodiespresentingascatatonia |