Catatonia as a Result of a Traumatic Brain Injury
Catatonia is a neuropsychiatric syndrome typically marked by disturbances in motor activity, speech, and behavior. It has historically been associated with psychiatric illness, but acute medical illness, neurocognitive disorders, and neurodevelopmental disorders can cause catatonia as well. Catatoni...
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| Format: | Article |
| Language: | English |
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Wiley
2024-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2024/5184741 |
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| author | Jessica Berthelot Jacob Cambre Madeline Erwin Jennifer Phan |
| author_facet | Jessica Berthelot Jacob Cambre Madeline Erwin Jennifer Phan |
| author_sort | Jessica Berthelot |
| collection | DOAJ |
| description | Catatonia is a neuropsychiatric syndrome typically marked by disturbances in motor activity, speech, and behavior. It has historically been associated with psychiatric illness, but acute medical illness, neurocognitive disorders, and neurodevelopmental disorders can cause catatonia as well. Catatonia is likely underrecognized and underdiagnosed in the general medical hospital, despite high risks of morbidity and mortality and the availability of rapidly effective treatment. Here, we present a case of catatonia secondary to traumatic brain injury that responded to lorazepam after a delayed diagnosis. A young male patient who was incarcerated and assaulted was sent to the emergency department multiple times for unresponsive and unpredictable behavior, including not agreeing to be released home. After being admitted with the diagnosis of postconcussive syndrome, he was ultimately diagnosed with catatonia, and intravenous lorazepam resulted in a return to his baseline mental status. We discuss factors that led to the delay in diagnosis, including lack of training in recognition of catatonia, suspicion of feigned symptoms for secondary gain, and the implication of stigma in an African American young male arrested for a drug-related crime. |
| format | Article |
| id | doaj-art-f6a016c3133540c686a68095102355b3 |
| institution | Kabale University |
| issn | 2090-6838 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-f6a016c3133540c686a68095102355b32025-02-03T01:29:42ZengWileyCase Reports in Psychiatry2090-68382024-01-01202410.1155/2024/5184741Catatonia as a Result of a Traumatic Brain InjuryJessica Berthelot0Jacob Cambre1Madeline Erwin2Jennifer Phan3Department of PsychiatrySciences Center Medical SchoolSciences Center Medical SchoolDepartment of PsychiatryCatatonia is a neuropsychiatric syndrome typically marked by disturbances in motor activity, speech, and behavior. It has historically been associated with psychiatric illness, but acute medical illness, neurocognitive disorders, and neurodevelopmental disorders can cause catatonia as well. Catatonia is likely underrecognized and underdiagnosed in the general medical hospital, despite high risks of morbidity and mortality and the availability of rapidly effective treatment. Here, we present a case of catatonia secondary to traumatic brain injury that responded to lorazepam after a delayed diagnosis. A young male patient who was incarcerated and assaulted was sent to the emergency department multiple times for unresponsive and unpredictable behavior, including not agreeing to be released home. After being admitted with the diagnosis of postconcussive syndrome, he was ultimately diagnosed with catatonia, and intravenous lorazepam resulted in a return to his baseline mental status. We discuss factors that led to the delay in diagnosis, including lack of training in recognition of catatonia, suspicion of feigned symptoms for secondary gain, and the implication of stigma in an African American young male arrested for a drug-related crime.http://dx.doi.org/10.1155/2024/5184741 |
| spellingShingle | Jessica Berthelot Jacob Cambre Madeline Erwin Jennifer Phan Catatonia as a Result of a Traumatic Brain Injury Case Reports in Psychiatry |
| title | Catatonia as a Result of a Traumatic Brain Injury |
| title_full | Catatonia as a Result of a Traumatic Brain Injury |
| title_fullStr | Catatonia as a Result of a Traumatic Brain Injury |
| title_full_unstemmed | Catatonia as a Result of a Traumatic Brain Injury |
| title_short | Catatonia as a Result of a Traumatic Brain Injury |
| title_sort | catatonia as a result of a traumatic brain injury |
| url | http://dx.doi.org/10.1155/2024/5184741 |
| work_keys_str_mv | AT jessicaberthelot catatoniaasaresultofatraumaticbraininjury AT jacobcambre catatoniaasaresultofatraumaticbraininjury AT madelineerwin catatoniaasaresultofatraumaticbraininjury AT jenniferphan catatoniaasaresultofatraumaticbraininjury |