Affiliation:
1. Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy
2. Department of Psychiatry, Major Hospital, 26013 Crema, Italy
3. Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy;Institute of Behavioral Science “G. De Lisio”, 56127 Pisa, Italy
Abstract
Catatonia is a neuropsychiatric syndrome characterized by a broad range of motor, behavioral and cognitive abnormalities. Catatonia and Parkinson’s disease (PD) may show partially overlapping symptomatology. For this reason, catatonia could be misdiagnosed and overlooked in patients with severe PD, leading to a delay in proper treatment with benzodiazepines or electroconvulsive therapy (ECT). Two cases of women with PD and catatonia who have been admitted and treated with ECT at the University Hospital of Pisa are described here. Both had a history of bipolar disorder and developed withdrawn catatonia, in the context of affective episodes, approximately one year after the diagnosis of PD. In both cases, ECT was needed and successfully led to the remission of catatonic symptoms, without cognitive worsening. Since ECT appears to effectively treat catatonia in patients with PD, clinicians should consider it as a therapeutic option.
Publisher
Open Exploration Publishing
Subject
General Psychology,Arts and Humanities (miscellaneous),Education,General Business, Management and Accounting,Education,Psychiatry and Mental health,Health Professions (miscellaneous),Law,Cognitive Neuroscience,Developmental and Educational Psychology,Education,Experimental and Cognitive Psychology,Political Science and International Relations,History,Management Science and Operations Research,Artificial Intelligence,General Engineering,Statistics and Probability,Electrical and Electronic Engineering,Artificial Intelligence,Industrial and Manufacturing Engineering,Mechanical Engineering,Control and Systems Engineering,Software,Artificial Intelligence,Computer Networks and Communications,Hardware and Architecture,Information Systems,Software