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Letters   |    
Challenges in Diagnosing and Adequately Treating Malignant Catatonia and Its Fatal Consequences
Erol Ozan, M.D.; Esat Fahri Aydin, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E52. doi:10.1176/appi.neuropsych.13030056
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Celal Bayar University School of Medicine Department of Psychiatry, Türkiye

Atatürk University School of Medicine Department of Psychiatry, Türkiye

Correspondence: Dr. Ozan; e-mail: erolozan@gmail.com

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: Catatonia may often present with puzzling symptoms and etiologies that can delay adequate and timely treatment, increasing the risk of mortality.1 When accompanied with hyperthermia and autonomic instability, it is called malignant catatonia (MC).1,2 When preceded by antipsychotic use, catatonia is usually termed and treated as neuroleptic malignant syndrome (NMS), which is regarded as a variant of MC.1,3 The case below inspired us to highlight the challenges in diagnosing and adequately treating MC and its fatal consequences.

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References

Detweiler  MB;  Mehra  A;  Rowell  T  et al:  Delirious mania and malignant catatonia: a report of three cases and review.  Psychiatr Q 2009; 80:23–40
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Daniels  J:  Catatonia: clinical aspects and neurobiological correlates.  J Neuropsychiatry Clin Neurosci 2009; 21:371–380
[CrossRef] | [PubMed]
 
Fink  M;  Taylor  MA:  Neuroleptic malignant syndrome is malignant catatonia, warranting treatments efficacious for catatonia.  Prog Neuropsychopharmacol Biol Psychiatry 2006; 30:1182–1183; author reply 1184–1185
[CrossRef] | [PubMed]
 
Fink  M:  Delirious mania.  Bipolar Disord 1999; 1:54–60
[CrossRef] | [PubMed]
 
Narayanaswamy  JC;  Tibrewal  P;  Zutshi  A  et al:  Clinical predictors of response to treatment in catatonia.  Gen Hosp Psychiatry 2012; 34:312–316
[CrossRef] | [PubMed]
 
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