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[Differential diagnosis of acute life threatening catatonia and malignant neuroleptic syndrome--a case report].
Fortschr Neurol Psychiatr. 1986 Jun; 54(6):189-95.FN

Abstract

This study reports the development of a severe life threatening catatonia in a 19 years old woman. Initially she displayed paranoia and hallucinations, which were complicated under neuroleptic treatment by extended rigor, temperature and autism. ECT led to a certain improvement of all symptoms, but complete recovery was only reached after neuroleptic drug withdrawal. The course of this case shows that the differential-diagnosis between genuine "pernicious" catatonia and the neuroleptica malignant syndrome is very difficult clinically. Therefore, before the application of ECT, an observation period without any neuroleptic drugs is recommended in similar cases with rigor, stupor and raised temperature, to avoid additional risks by narcosis and ECT itself. Diagnostic and therapeutic outlines are given.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

2873091

Citation

Hermle, L, and G Oepen. "[Differential Diagnosis of Acute Life Threatening Catatonia and Malignant Neuroleptic Syndrome--a Case Report]." Fortschritte Der Neurologie-Psychiatrie, vol. 54, no. 6, 1986, pp. 189-95.
Hermle L, Oepen G. [Differential diagnosis of acute life threatening catatonia and malignant neuroleptic syndrome--a case report]. Fortschr Neurol Psychiatr. 1986;54(6):189-95.
Hermle, L., & Oepen, G. (1986). [Differential diagnosis of acute life threatening catatonia and malignant neuroleptic syndrome--a case report]. Fortschritte Der Neurologie-Psychiatrie, 54(6), 189-95.
Hermle L, Oepen G. [Differential Diagnosis of Acute Life Threatening Catatonia and Malignant Neuroleptic Syndrome--a Case Report]. Fortschr Neurol Psychiatr. 1986;54(6):189-95. PubMed PMID: 2873091.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Differential diagnosis of acute life threatening catatonia and malignant neuroleptic syndrome--a case report]. AU - Hermle,L, AU - Oepen,G, PY - 1986/6/1/pubmed PY - 1986/6/1/medline PY - 1986/6/1/entrez SP - 189 EP - 95 JF - Fortschritte der Neurologie-Psychiatrie JO - Fortschr Neurol Psychiatr VL - 54 IS - 6 N2 - This study reports the development of a severe life threatening catatonia in a 19 years old woman. Initially she displayed paranoia and hallucinations, which were complicated under neuroleptic treatment by extended rigor, temperature and autism. ECT led to a certain improvement of all symptoms, but complete recovery was only reached after neuroleptic drug withdrawal. The course of this case shows that the differential-diagnosis between genuine "pernicious" catatonia and the neuroleptica malignant syndrome is very difficult clinically. Therefore, before the application of ECT, an observation period without any neuroleptic drugs is recommended in similar cases with rigor, stupor and raised temperature, to avoid additional risks by narcosis and ECT itself. Diagnostic and therapeutic outlines are given. SN - 0720-4299 UR - https://www.unboundmedicine.com/medline/citation/2873091/[Differential_diagnosis_of_acute_life_threatening_catatonia_and_malignant_neuroleptic_syndrome__a_case_report]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2007-1001864 DB - PRIME DP - Unbound Medicine ER -