title: Catatonic disorder due to a general medical or psychiatric condition.
abstract: Identification of individuals with catatonic disorder secondary to a general medical condition (CD-GMC) may affect both acute and long-term patient management. The authors performed a 20-year retrospective cohort analysis of all patients meeting DSM-IV-TR criteria for catatonic subtypes seen at our institution. Encephalitis was the most common etiologic diagnosis among patients with CD-GMC, and lumbar puncture the test most likely to affect acute management. Univariate logistic-regression analysis utilizing Bonferroni correction for multiple comparisons yielded absence of a psychiatric history and history of clinical seizure as variables increasing the likelihood of a diagnosis of CD-GMC. Prospective evaluation across a larger patient series will be required to better identify patients with catatonia who would benefit from neurologic evaluation.
authors: Department of Neurology, College of Medicine, Mayo Clinic, Rochester, MN, USA. smith.jonathan@mayo.edu
authors: Jonathan H
authors: JH
authors: Smith
authors: Vanessa D
authors: VD
authors: Smith
authors: Kemuel L
authors: KL
authors: Philbrick
authors: Neeraj
authors: N
authors: Kumar
mesh_terms: D002389:Catatonia / Q000175:diagnosis / Q000453:epidemiology*; D015331:Cohort Studies; D015897:Comorbidity; D004569:Electroencephalography / Q000379:methods / Q000523:psychology; D004827:Epilepsy / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods / Q000523:psychology; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D008910:Minnesota / Q000453:epidemiology; D059906:Neuroimaging / Q000379:methods / Q000523:psychology*; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data; D012307:Risk Factors; D013129:Spinal Puncture / Q000009:adverse effects