| Catatonia and Alcohol Withdrawal: A Complex and Underestimated Syndrome. | |
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MedLine Citation:
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PMID: 22278315 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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AIMS: Catatonia is a neuropsychiatric syndrome characterized by alterations in motor behavior, vigilance, thought and mood. Catatonia syndrome occurs in many neuropsychiatric and medical conditions, but it is very rarely mentioned as occurring during alcohol withdrawal. We think that this co-occurrence could be underestimated in clinics because alcohol withdrawal symptoms may distract from its identification. METHODS: We report the case of a patient presenting with catatonia during the benzodiazepine reduction period of alcohol detoxification. RESULTS: A 65-year-old woman presented with a 15-year history of alcohol dependence and developed catatonic episodes several times during alcohol withdrawal treatment. Misdiagnosis delayed specific treatment. Symptoms of episodes dramatically improved 48 h after treatment with diazepam and revealed an anxiety disorder. CONCLUSION: This report confirms that catatonia is a non-specific response to psychological, physical and psychosocial stress factors. Recent alcohol withdrawal may sensitize the patient to benzodiazepine withdrawal catatonia, and this phenomenon is probably underestimated. Catatonia Rating Scales can be useful when diagnosis is complicated as in alcohol and benzodiazepine withdrawal. In that situation, misdiagnosis is common and may delay specific treatment. |
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Authors:
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Pierre Alexis Geoffroy; Benjamin Rolland; Olivier Cottencin |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-25 |
Journal Detail:
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Title: Alcohol and alcoholism (Oxford, Oxfordshire) Volume: - ISSN: 1464-3502 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-1-26 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8310684 Medline TA: Alcohol Alcohol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Univ Lille Nord de France, F-59000 Lille, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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