SciELO - Scientific Electronic Library Online

 
vol.46 suppl.1Pharmacological Treatment of Apathy in Parkinson's Disease: a Systematic Review of the Literature índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Não possue artigos similaresSimilares em SciELO
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Revista Colombiana de Psiquiatría

versão impressa ISSN 0034-7450

Resumo

PEREZ-GONZALEZ, Andrés Felipe; ESPINOLA-NADURILLE, Mariana  e  RAMIREZ-BERMUDEZ, Jesús. Catatonia and Delirium: Syndromes that may Converge in the Neuropsychiatrie Patient. rev.colomb.psiquiatr. [online]. 2017, vol.46, suppl.1, pp.2-8. ISSN 0034-7450.  http://dx.doi.org/10.1016/j.rcp.2017.05.009.

Introduction:

Catatonia and delirium are two different and independent syndromes. Catatonia is a psychomotor syndrome associated with a variety of diseases of different medical causes and is characterised by lack of activity, induction of passive postures against gravity, opposition or absence of response to external stimuli, waxy flexibility, stereotypies, mannerisms and echophenomena. Delirium is characterised by consciousness and cognitive alterations, mainly attention and orientation and usually of acute onset, which tend to fluctuate during the day and with evidence that the alteration is a direct physiological consequence of a disease, intoxication or substance withdrawal. Despite the differences and the fact that the classifications exclude the possibility that these syndromes may manifest together, several case reports and studies in groups of patients have postulated that the two conditions can occur together.

Material and methods:

In this study we identified 16 hospitalised patients who experienced both syndromes at the same time as confirmed by the Delirium Rating Scale-Revised (DRS-98) and the Bush-Francis Catatonia Rating Scale (BFCRS).

Results:

Patient outcome was followed during hospitalisation and the patients' clinical condition upon discharge. These patients had mostly neurological diagnoses, long hospital stays, required treatment with antipsychotics and benzodiazepines and had frequent complications.

Conclusions:

Catatonia and delirium are syndromes that can present at the same time, resulting in worse patient outcome and an increased risk of complications.

Palavras-chave : Catatonia; Delirium; Symptoms; Outcome; Treatment.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )