L’enseignement du syndrome catatonique en France : enquête nationale et état des lieux

d’Intignano, L. Majnoni; Granon, O.; Fovet, Thomas; Thomas, P.; Bonin, B.; Amad, Ali

doi:10.1016/j.encep.2019.03.004

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…There is reason to be hopeful, as two small studies demonstrated that catatonia-specific education is correlated with improved knowledge of the syndrome and increased comfort managing catatonia in practice. 171,172 Other resources for learning catatonia are available including the Catatonia Information Center 199 <catatonia.org> run by Dr Andrew Francis, and the National Neuroscience Curriculum Initiative, an open-access educational collaborative which has a module on the use of ECT for catatonia in autism, 200 and which hosted a live case conference on catatonia as part of their Quarantine Curriculum's Mind-Body Day. 201 Widespread legal restrictions on ECT that place legal systems in between a doctor and patient in the therapeutic relationship, or disallow surrogate decision-makers, impede potentially life-saving or morbidity-reducing treatment in catatonia, and are inappropriate, inequitable, and harmful.…”

Section: Discussionmentioning

confidence: 99%

“…171 At the same time, low catatonia knowledge has also been demonstrated among psychiatrists. 31,171,172 Additional Barriers Additional barriers in the US include required postprocedure transportation with escort, 175 a decrease in the number of hospitals providing ECT, 176 geographic limitations, and disparities in insurance coverage. 177 Disproportionately low ECT use in people of color points to sociodemographic barriers as well.…”

Section: Under-recognition Of Catatoniamentioning

confidence: 99%

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<p>Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives</p>

Lloyd¹,

Silverman²,

Kugler³

et al. 2020

NDT

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Catatonia is a serious, common syndrome of motoric and behavioral dysfunction, which carries high morbidity and mortality. Electroconvulsive therapy (ECT) is the definitive treatment for catatonia, but access to ECT for the treatment of catatonia remains inappropriately limited. Catatonia is observable, detectable, and relevant to various medical specialties, but underdiagnosis impedes the delivery of appropriate treatment and heightens risk of serious complications including iatrogenesis. Current understanding of catatonia's pathophysiology links it to the current understanding of ECT's mechanism of action. Definitive catatonia care requires recognition of the syndrome, workup to identify and treat the underlying cause, and effective management including appropriate referral for ECT. Even when all of these conditions are met, and despite well-established data on the safety and efficacy of ECT, stigma surrounding ECT and legal restrictions for its use in catatonia are additional critical barriers. Addressing the underdiagnosis of catatonia and barriers to its treatment with ECT is vital to improving outcomes for patients. While no standardized protocols for treatment of catatonia with ECT exist, a large body of research guides evidence-based care and reveals where additional research is warranted. The authors conducted a review of the literature on ECT as a treatment for catatonia. Based on the review, the authors offer strategies and future directions for improving access to ECT for patients with catatonia, and propose an algorithm for the treatment of catatonia with ECT.

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Section: Discussionmentioning

confidence: 99%

Section: Under-recognition Of Catatoniamentioning

confidence: 99%

<p>Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives</p>

Lloyd¹,

Silverman²,

Kugler³

et al. 2020

NDT

View full text Add to dashboard Cite

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Catatonie et trouble du spectre de l’autisme

Rambault¹,

Benchaïba²,

Tobie³

et al. 2020

Soins Pédiatrie/Puériculture

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Catatonia-asossicated urinary retention in geriatric patients: a case series report

Parmar,

Lau

2024

BMC Geriatr

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Background Catatonia is an underdiagnosed neuropsychiatric condition, with only a few studies focusing on medical sequalae among elderly populations. Delayed treatment results in complications with high morbidity and mortality. Among elderly individuals, one such complication is urinary retention. Urinary retention can result in prolonged catheter use. In geriatric populations, prolonged use of catheters become particularly concerning and problematic as it can limit patient mobility, are potential sources for infection, and increase the risk for delirium. Catheter use has been independently associated with increased mortality in nursing home settings. Given the above risks and implications of catheter use, this case series describes clinical cases of catatonia-associated urinary retention specifically in older populations, whereby the use of electroconvulsive therapy (ECT) resulted in resolution of urinary retention concurrent with resolution of depressive and catatonic symptoms using validated scales. Case presentation This study involved four patients ranging from 66–84 years old who met criteria for major depressive disorder and catatonia. At admission, Montgomery-Asberg Depression Rating Scale (MADRS) scores ranged from 40–56, indicating severe illness in all patients. All patients also met criteria for catatonia as measured by the Bush Francis Catatonia Rating Scale (BFCRS). During the admission, each patient experienced urinary retention as evidenced by post-void residual (PVR) bladder volumes ranging from 569-1400 mL. Medical workup was completed to exclude alternative causes for urinary retention. Each patient completed ECT treatment, ranging from 14–19 sessions which resulted in resolution of catatonia. All four patients were also noted to have PVR volumes ranging from 6–75 mL, thereby suggesting concurrent resolution of urinary retention. Posttreatment, the MADRS scores ranged from 3–16, indicating a mild or subthreshold index of illness. There was no recurrence of elevated post-void residual volumes, and therefore, all patients were discharged from hospital without the requirements of urinary catheter insertion. Conclusions To our knowledge, there are no case reports that describe the concurrent resolution of catatonia, depressive symptoms and urinary retention simultaneously using validated scales throughout the ECT treatment course. Furthermore, there are no prior reports describing catatonia-related urinary retention specifically among a group of geriatric populations. Identifying and treating catatonia in a timely manner can reduce the complications associated with prolonged catheter use. There remains a gap in current research to describe if there exists any overlapping mechanisms and pathways to explain how ECT can treat catatonia, depression, and catatonia-associated urinary retention.

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L’enseignement du syndrome catatonique en France : enquête nationale et état des lieux

Cited by 3 publications

References 22 publications

<p>Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives</p>

<p>Electroconvulsive Therapy for Patients with Catatonia: Current Perspectives</p>

Catatonie et trouble du spectre de l’autisme

Catatonia-asossicated urinary retention in geriatric patients: a case series report

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