Catatonia is a state of stupor or unresponsiveness in a person who is otherwise awake. Catatonia can occur in association with a psychiatric disorder, like schizophrenia, or in association with a medical condition such as encephalitis. In some patients, catatonia may be present without a known cause. Catatonia is usually episodic, meaning that episodes of catatonia come and go. Symptoms that accompany catatonia can include
- posturing, and
Since a person with catatonia cannot give an accurate medical history, it is important in making a diagnosis to determine the specific symptoms from others who have observed the catatonic state. Some causes of catatonic behavior, like nonconvulsive status epilepticus or neuroleptic malignant syndrome, are medical emergencies.
Other causes of catatonia (catatonic behavior)
- Acute Psychosis
- Brain Trauma
- Neuroleptic Malignant Syndrome
- Nonconvulsive Status Epilepticus
- Vegetative State
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Causes of Catatonia (Catatonic Behavior)
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Examples of Medications for Catatonia (Catatonic Behavior)
- aripiprazole (Abilify, Aristrada)
- carbamazepine, Tegretol, Tegretol XR , Equetro, Carbatrol, Epitol, Teril
- chlorpromazine - oral, Thorazine
- chlorpromazine-injection, Thorazine
- clonazepam (Klonopin)
- clozapine (Clozaril, Fazacio ODT, Versacloz)
- fluphenazine (Permitil, Prolixin)
- haloperidol (Haldol)
- lithium (Lithobid)
- lorazepam (Ativan)
- midazolam - oral syrup, Versed
- midazolam injection, Versed (discontinued brand)
- olanzapine (Zyprexa, Zydis)
- quetiapine (Seroquel)
- risperidone, Risperdal; Risperdal Consta, Risperdal M-TAB
- thiothixene - oral, Navane
- ziprasidone (Geodon)
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Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.