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العنوان
Prevalence of catatonia in the sample of patients admitted to the psychiatric institute of Ain Shams University Hospital: A 2 year hospital based descriptive study/
المؤلف
Soliman,Dina Ahmed Ali
هيئة الاعداد
باحث / دينا أحمد علي سليمان
مشرف / عبد الناصر محمود عمر
مشرف / مها محمد سيد
مشرف / مروة عادل جمال المسيري
مشرف / رحاب محمد نجيب
مشرف / محمد يوسف محمد
تاريخ النشر
2024
عدد الصفحات
344.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب النفسي والصحة العقلية
تاريخ الإجازة
1/1/2024
مكان الإجازة
جامعة عين شمس - كلية الطب - Psychiatry
الفهرس
Only 14 pages are availabe for public view

from 344

from 344

Abstract

Various definitions have been applied to catatonia in medicine in general and clinical psychiatry in particular. The word catatonia is of Greek origin for tension insanity, a concept developed by Kahlbaum to describe a new illness. His concept of catatonia was later marginalized by Kraepelian psychiatry to a subtype of schizophrenia. Also, three subtypes have been described: Retarded, excited and malignant. Risk factors for catatonia may include both predisposing and precipitating factors. The precipitating factors may interplay with the predisposing factors to lead to the catatonia phenotype. Moreover, the presentation of a patient with catatonia is not fixed and may vary from interview to another and the patients are often cachectic and disheveled. The characteristic motor signs of catatonia include mannerisms, stereotypy, festination, athetotic movements, dyskinesia, posturing, catalepsy, waxy flexibility (flexibilitas cerea), rigidity, sudden muscular tone alterations, gegenhalten and akinesia. The characteristic affective features include compulsive emotions, emotional lability, anxiety, impulsivity, aggression, excitement, agitation, flat affect, affective latency, ambivalence and staring. The cognitive-behavioral catatonic features include grimacing, verbigeration, perseveration, abnormal speech, automatic obedience, echolalia or echopraxia, Mitgehen or Mitmachen, compulsive behavior, negativism, autism or withdrawal, mutism, stupor, loss of vegetative abnormalities.
Furthermore, the first line of treatment for catatonia is generally benzodiazepines and BST sessions.