Home Bratislava Medical Journal 2023 Bratislava Medical Journal Vol.124, No.10, p.742–747, 2023

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.124, No.10, p.742–747, 2023

Title: Catatonia during COVID-19 pandemic – diagnostic and therapeutic approach
Author: Vanda VALKUCAKOVA, Gabriela BEZAKOVA, Stanislav SUTOVSKY, Lubomira IZAKOVA

Abstract: Catatonia can be defined as an etiologically heterogeneous syndrome, with predominant psychomotor disturbances. Historically, the concept of catatonia has been associated with mental disorders, especially schizophrenia. However, nowadays our understanding of catatonia has evolved to recognize it as neuropsychiatric syndrome that can arise from diverse etiological factors ranging from neurological to systemic diseases. Furthermore, there is now a recognized association between catatonia and a broader spectrum of mental disorders. Catatonia as a secondary neuropsychiatric syndrome may be a clinical manifestation of COVID-19 also due to the known neuroinvasive potential of the SARS-CoV-2 virus or in connection with the overall somatic alteration of the patient. In clinical practice, co-infection with SARS-CoV-2 could impede the process of diagnosing and treating catatonia as the primary psychopathological syndrome. The administration of benzodiazepines and electroconvulsive therapy could endanger the patient’s physical health with active COVID-19 infection. Management of catatonic syndrome associated with COVID-19 is a challenge and requires a comprehensive therapeutic approach. The article demonstrates the above-mentioned difficulties of treatment through two case presentations (Tab. 2, Ref. 29). Text in PDF www.elis.sk

Keywords: catatonia, COVID-19, SARS-CoV-2, neuropsychiatry, diagnosis, differential
Published online: 07-Aug-2023
Year: 2023, Volume: 124, Issue: 10 Page From: 742, Page To: 747

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