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Letters   |    
Organic Catatonia With Small Vessel Vascular Lesions Involving Basal Ganglia
Kapil Jhamnani, M.D.; Vinay Basavaraju, M.D.; Janardhanan C. Narayanaswamy, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E48. doi:10.1176/appi.neuropsych.13050106
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The authors report no financial relationships with commercial interests.

Dept. of Psychiatry, National Institute of Mental Health And Neurosciences (NIMHANS), Bangalore, India

Send correspondence to Dr. Narayanaswamy; e-mail: jairamnimhans@gmail.com

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: Catatonia is a neuropsychiatric syndrome characterized by concurrent motor, emotional, vegetative, and behavioral symptoms.1 Even though it was initially conceptualized as a subtype of schizophrenia, subsequently it was reported to occur not only with other psychiatric conditions but also with various medical and neurological conditions. Here we report a case of possible organic catatonia because of small vessel brain ischemic changes in basal ganglia in an elderly person with inadequate response to conventional treatment options.

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References

Carroll  BT:  Kahlbaum’s catatonia revisited.  Psychiatry Clin Neurosci 2001; 55:431–436
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Wilcox  JA;  Nasrallah  HA:  Organic factors in catatonia.  Br J Psychiatry 1986; 149:782–784
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Ahuja  N:  Organic catatonia: a review.  Indian J Psychiatry 2000; 42:327–346
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Northoff  G:  What catatonia can tell us about “top-down modulation”: a neuropsychiatric hypothesis.  Behav Brain Sci 2002; 25:555–577, discussion 578–604
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Tsujino  N;  Nemoto  T;  Yamaguchi  T  et al:  Cerebral blood flow changes in very-late-onset schizophrenia-like psychosis with catatonia before and after successful treatment.  Psychiatry Clin Neurosci 2011; 65:600–603
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