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Can dementia cause catatonic state?
Catatonia occurring as part of a clinical picture of dementia has been reported with almost all types of dementia. It remains under-diagnosed in older adults and those with dementia.
How is malignant catatonia treated?
When malignant catatonia is suspected, 1-2 mg lorazepam should be given intravenously, even when the diagnostic procedures are ongoing, this may be repeated one hour after the first administration. With good response, treatment with benzodiazepines should be continued by gradually increasing the dose.
Does ECT treat catatonia?
Electroconvulsive therapy (ECT) is effective in 80% to 100% of all forms of catatonia, even after pharmacotherapy with benzodiazepines has failed, and is considered first-line treatment in patients with neuroleptic malignant syndrome.
What is catatonic dementia?
Catatonia is a treatable neuropsychiatric disorder characterized by motor, behavioral, and autonomic abnormalities,[1] which remains underdiagnosed in older adults and those with dementia.[2,3] In this group, its frequency is unclear, etiology tends to be multifactorial,[2,3] and there is a greater risk of …
How long does it take to recover from catatonia?
The most common symptom is stupor, which means that the person can’t move, speak, or respond to stimuli. However, some people with catatonia may exhibit excessive movement and agitated behavior. Catatonia can last anywhere from a few hours to weeks, months, or years.
Can catatonia be reversed?
“Catatonia is treatable, but the sad component is that the true diagnosis is often not made and appropriate treatment is not provided,” Max Fink, MD, professor emeritus of psychiatry and neurology, Stony Brook School of Medicine, New York, told Psychiatry Advisor.
What are the side effects of ECT?
The most common side effects of ECT on the day of treatment include nausea, headache, fatigue, confusion, and slight memory loss, which may last minutes to hours. These risks must be balanced with the consequences of ineffectively treated severe psychiatric disorders.