Catatonia – not only a schizophrenia subtype: a case report of Wilson’s disease

Braga, C; Pina, Isabela de F.; Cantilino, Amaury; Machado, Leonardo

doi:10.1590/1516-4446-2019-0558

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…U dijagnostičko i statističkom priručniku za mentalne poremećaje, peta revizija (DSM -V) katatonija je klasifikovana kao poseban sindrom, sa određenim brojem podtipova [8]. Najčešća podela katatonije je na: nemalignu, delirantnu i malignu [9]. Nemaligna (benigna) katatonija odnosi se na klasične karakteristike opisane od strane Kahlbauma, dok delirantna katatonija obuhvata i delirantnu maniju.…”

Section: Uvodunclassified

The syndrome of catatonia

Milinović¹,

Todorović²

2020

Halo 194

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Katatoni sindrom predstavlja oštećenje voljne aktivnosti, javlja se u sklopu poremećaja raspoloženja, katatone shizofrenije, konverzivnih poremećaja, neuroloških bolesti, metaboličkih poremećaja, toksičnih infekcija centralnog nervnog sistema, virusnih infekcija i autoimunih bolesti. Cilj rada je prikaz pacijentkinje kod koje je razmatrana dijagnoza disocijativnog stupora iz nekoliko razloga. Prvo, zbog postojanja vremenske povezanosti između početka simptoma poremećaja i stresogenih događaja. Drugo, zbog dubokog smanjenja voljnih pokreta, govora i normalnog reagovanja na svetlost, buku i dodir, uz održan normalan tonus mišića, telesni stav i disanje. Na kraju, ključni razvojni zadatak, prelazak pacijentkinje iz faze simbioze (stopljenosti) s majkom i zavisnosti od nje, u stanje povećane nezavisnosti i diferencijacije, koji nije razrešen. U dijagnostici i lečenju se primenjuje integrativni pristup prema redu hitnosti i težini kliničke slike, a nakon produženog stacionarnog lečenja indikovano je nastaviti sa medikamentoznom terapijom i psihoterapijskom podrškom.

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Section: Uvodunclassified

The syndrome of catatonia

Milinović¹,

Todorović²

2020

Halo 194

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“…Furthermore, there is an association between bipolar disorder (BD) and WD [2] . Electroconvulsive therapy (ECT) has been shown in a few case reports to be effective for WD catatonia and depression [3] . To date, there have been no reports of WD mania treated with ECT, and no reported association between psychiatric and neurological improvements in WD following ECT.…”

mentioning

confidence: 99%

Electroconvulsive therapy for mania associated with Wilson disease: Improvement in psychiatric and motor symptoms

Bozutti

Neto

Marchetti

2021

Clinical Parkinsonism & Related Disorders

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Wilson disease

Aggarwal

Bhatt

2020

Current Opinion in Neurology

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Purpose of review The aim of this article is to review recent developments in the areas of the disease features and treatment of Wilson disease, and survey disorders that share its pathophysiology or clinical symptoms. Recent findings Knowledge of the clinical spectrum of Wilson disease has expanded with recognition of patients who present in atypical age groups – patients with very early onset (<5 years) and those in whom symptoms present in mid-to-late adulthood. A disease phenotype with dominant psychiatric features and increased risk of cardiac problems and various sleep disorders have been identified. In addition to a better understanding of the phenotype of Wilson disease itself, features of some related disorders (‘Wilson disease-mimics’) have been described leading to a better understanding of copper homeostasis in humans. These disorders include diseases of copper disposition, such as mental retardation, enteropathy, deafness, neuropathy, ichthyosis, keratoderma syndrome, Niemann–Pick type C, and certain congenital disorders of glycosylation, as well as analogous disorders of iron and manganese metabolism. Outcomes for existing treatments, including in certain patient subpopulations of interest, are better known. Novel treatment strategies being studied include testing of bis-choline tetrathiomolybdate in phase 2 clinical trial as well as various preclinical explorations of new copper chelators and ways to restore ATP7B function or repair the causative gene. Summary Recent studies have expanded the phenotype of Wilson disease, identified rare inherited metal-related disorders that resemble Wilson disease, and studied long-term outcomes of existing treatments. These developments can be expected to have an immediate as well as a long-term impact on the clinical management of the disease, and point to promising avenues for future research.

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Catatonia – not only a schizophrenia subtype: a case report of Wilson’s disease

Cited by 3 publications

References 8 publications

The syndrome of catatonia

The syndrome of catatonia

Electroconvulsive therapy for mania associated with Wilson disease: Improvement in psychiatric and motor symptoms

Wilson disease

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