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Catatonia and dementia: a case report

Published online by Cambridge University Press:  01 September 2022

E. Almeida ,
J. Abreu ,
J. Martins ,
R. Vaz ,
R. Sousa ,
J. Brás ,
A. Costa ,
D. Teixeira ,
A. Marques  and
E. Monteiro
E. Almeida*
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Abreu
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Martins
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
R. Vaz
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
R. Sousa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Brás
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Costa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
D. Teixeira
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Marques
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
E. Monteiro
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
*
*Corresponding author.

Abstract

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Introduction

Catatonia is a neuropsychiatric disorder characterized by motor, behavioral and autonomic changes. It is associated with several psychiatric disorders, including dementia. Catatonia is an underdiagnosed syndrome, so it is important to draw attention to it. Here, we review a case of a patient admitted to our psychiatric department with a clinical presentation compatible with catatonia. After proper treatment, further assessment revealed dementia.

Objectives

This work aims to describe a case of catatonia in a patient with dementia.

Methods

Bibliographic research using Pubmed®. Clinical file consultation and patient interviews.

Results

Catatonia is a disorder that was already been described as part of several types of dementia. We present a 69-year-old female patient, admitted to our psychiatric department with clinical presentation compatible with catatonia. To admission, she presented some typical complications resulting from long immobility such as pressure ulcers and nutritional deficiencies. During the hospitalization, she developed a urinary infection and there was the need to tube feeding. She was treated with benzodiazepines and improved. Further assessment revealed dementia.

Conclusions

Catatonia in dementia is not uncommon, although it is an underdiagnosed syndrome, and when treated early and properly it has a good prognosis.

Disclosure

No significant relationships.

Keywords

Catatoniademencia
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S652 - S653
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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