[Severe hypernatremia within the scope of catatonic schizophrenia].
We report the case of a 57-year-old chronic schizophrenic patient who developed an acute catatonic stupor after postoperative withdrawal of neuroleptics with excessive and firstly therapy-resistant hypernatremia. Only after re-treatment with neuroleptics the hypernatremia could be compensated. A relationship between the catatonic schizophrenia and the electrolyte-disturbances can be supposed; probably in both diencephalic structures are involved. Therefore the syndrome of "acute life threatening catatonia" should be included into the differential diagnosis of uncertain metabolic disorders.
Trabert
W
W
von Blohn
G
G
Gawlitza
M
M
D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D006955:Hypernatremia / Q000139:chemically induced*; D008297:Male; D008875:Middle Aged; D012560:Schizophrenia, Catatonic / Q000139:chemically induced* / Q000188:drug therapy; D013375:Substance Withdrawal Syndrome / Q000209:etiology*; D014882:Water-Electrolyte Balance / Q000187:drug effects
D014150:Antipsychotic Agents
Schwere Hypernatriämie im Rahmen einer katatonen Schizophrenie.