Cannabis Induced Periodic Catatonia: A Case Report

Bajaj, Vikrant; Pathak, Poonam; Mehrotra, Saurabh; Singh, Vijender; Govil, Sandeep; Khanna, Amit

doi:10.1007/s11469-009-9262-9

Cited by 9 publications

(2 citation statements)

References 6 publications

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“…Another hypothesis postulates that prostaglandins are involved in the catatonia produced by tetrahydrocannabinol (THC), the main psychoactive compound of cannabis [11]. A report highlighted a case of periodic catatonia with an increase in cannabis usage in an individual with cannabis dependence [12].…”

Section: Discussionmentioning

confidence: 99%

An Atypical Case of Catatonia, Abnormal Gait and Psychosis in an Adolescent with Chronic Cannabis Use

Palkar¹,

Ray²

2021

J Drug Addi Ther

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An association between cannabis and psychosis is well established. Cannabis use is known to precipitate schizophrenia in vulnerable individuals and it can exacerbate existing psychosis. However, there is a paucity of knowledge about the emergence of catatonia and abnormal gait associated with cannabis use. History of cannabis use is associated with long-lasting changes in open-chain elements of walking gait. Cannabinoid receptors are located in movement-related brain regions and cannabis use is suggested to affect gait. This report is a unique case of a 16-year-old male with no known past medical history, no past psychiatric history, with family history significant for psychosis who presented to the hospital for bizarre, disorganized behavior, and decreased oral intake following heavy cannabis use over the past three months in the context of a break-up. Upon arrival, he was found to be in a catatonic state with an impaired gait. As catatonia resolved with treatment, he was able to speak and the psychosis surfaced which was addressed with antipsychotics. This case report highlights an atypical but serious clinical picture observed to be precipitated by chronic, heavy cannabis use.

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Section: Discussionmentioning

confidence: 99%

An Atypical Case of Catatonia, Abnormal Gait and Psychosis in an Adolescent with Chronic Cannabis Use

Palkar¹,

Ray²

2021

J Drug Addi Ther

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“…Classically periodic catatonia has been reported to occur in association with schizophrenia, but it has also been reported in patients with affective disorders ( Barroso Cañizares et al, 1999 ; Bräunig, 1991 ; Hervey et al, 2013 ; Yeh et al, 2010 ) and occasionally in patients with substance use disorders ( Bajaj et al, 2011 ), underlying medical illnesses ( Aragon et al, 2016 ; Boyce, 1958 ; Leentjens and Pepplinkhuizen, 1998 ; Sengul et al, 2005 ; Sutar and Rai, 2020 ) and in association with menstrual cycles ( Zwiebel et al, 2018 ). It has also been reported in adolescents ( Kinrys and Logan, 2001 ; Sutar and Rai, 2020 ) and the geriatric population ( Carroll et al, 2011 ; Tang and Park, 2016 ).…”

Section: Subtypes Of Catatonia and Related Conditionsmentioning

confidence: 99%

Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology

et al. 2023

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The British Association for Psychopharmacology developed an evidence-based consensus guideline on the management of catatonia. A group of international experts from a wide range of disciplines was assembled. Evidence was gathered from existing systematic reviews and the primary literature. Recommendations were made on the basis of this evidence and were graded in terms of their strength. The guideline initially covers the diagnosis, aetiology, clinical features and descriptive epidemiology of catatonia. Clinical assessments, including history, physical examination and investigations are then considered. Treatment with benzodiazepines, electroconvulsive therapy and other pharmacological and neuromodulatory therapies is covered. Special regard is given to periodic catatonia, malignant catatonia, neuroleptic malignant syndrome and antipsychotic-induced catatonia. There is attention to the needs of particular groups, namely children and adolescents, older adults, women in the perinatal period, people with autism spectrum disorder and those with certain medical conditions. Clinical trials were uncommon, and the recommendations in this guideline are mainly informed by small observational studies, case series and case reports, which highlights the need for randomised controlled trials and prospective cohort studies in this area.

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Cannabis in the Adult Medical and Consultation-Liaison Settings

Murray

Thant²

2022

Cannabis in Psychiatric Practice

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Cannabis Induced Periodic Catatonia: A Case Report

Cited by 9 publications

References 6 publications

An Atypical Case of Catatonia, Abnormal Gait and Psychosis in an Adolescent with Chronic Cannabis Use

An Atypical Case of Catatonia, Abnormal Gait and Psychosis in an Adolescent with Chronic Cannabis Use

Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology

Cannabis in the Adult Medical and Consultation-Liaison Settings

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