Postpartum Catatonia Associated With Atypical Posterior Reversible Encephalopathy Syndrome

Kitabayashi, Yurinosuke; Hamamoto, Yasuko; Hirosawa, Rikuei; Narumoto, Jin; Fukui, Kenji

doi:10.1176/jnp.2007.19.1.91a

Cited by 13 publications

(3 citation statements)

References 8 publications

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“…2007), day 15 (Franchini 1955), day 16 (Sachs 1910), and day 17 (Gueye 1976); this is the extreme example of late onset, on day 41, but with transitory agitation and clouding on day 4:A 27-year old, in the 7 th month of her 1 st pregnancy, developed headache, dyspneia and albuminuria. After the birth, the placenta was noted to have infarcts.…”

Section: Cases In the Literaturementioning

confidence: 99%

Donkin psychosis

Brockington

2016

Arch Womens Ment Health

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Donkin psychoses are eclamptic psychoses without seizures. As symptomatic psychoses resulting from cerebral endothelial damage, they may explain the lucid intervals that sometimes occur between eclampsia and the eruption of psychosis. They have the same features as eclamptic psychoses, with onset during pregnancy or the early puerperium, especially in first-time mothers, a short duration and full recovery in most. The clinical picture is usually delirium, but mania is also seen, and some patients have retrograde amnesia or other cognitive defects. Donkin psychosis should be considered in the differential diagnosis of childbearing psychoses, and collaborative research is needed to clarify their differences.

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Section: Cases In the Literaturementioning

confidence: 99%

Donkin psychosis

Brockington

2016

Arch Womens Ment Health

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“…However, among transplant recipients, the incidence of catatonia is unknown. Many potential transplant-related factors have been associated with catatonia syndromes in non-transplanted patients, including infection, posterior reversible encephalopathy syndrome [ 2 , 3 ], akinetic mutism [ 4 ], uremic encephalopathy [ 5 ], hyponatremia [ 6 ], and osmotic demyelination syndrome [ 7 ]. Immunosuppressants have specifically been implicated in catatonia among transplant recipients [ 8 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Catatonia After Liver Transplantation

2018

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BackgroundCentral nervous system complications after transplantation occur in up to 40% of recipients and these complications are associated with increased length of hospital stay and mortality. Catatonia is a neuropsychiatric clinical syndrome which has been described in case reports and in a small case series as occurring in the immediate post-solid organ transplantation (SOT) period, and it has been attributed to calcineurin inhibitor neurotoxicity, psychological vulnerability, and depression. Among transplant recipients, the incidence of catatonia is unknown; it may be under diagnosed in part due to a broad differential diagnosis in the post-transplantation setting, which includes hypoactive delirium, non-convulsive status epilepticus, drug toxicity, conversion disorder, and volitional uncooperativeness.Case ReportWe present 2 cases of catatonia diagnosed in liver allograft recipients. We also reviewed current literature for cases of catatonia among SOT recipients. We provide provisional evaluation and management strategies of recipients with clinical concern for catatonia.ConclusionsDespite difficulties in establishing the diagnosis, catatonia after liver transplantation was rapidly responsive to intravenous lorazepam, indicating that changing immunosuppressants may be avoidable.

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“…hydrocephalus, hemorrhages, neurodegenerative and autoimmune conditions, as well as posterior reversible encephalopathy syndrome, all of which can be identified with neuroimaging. [1][2][3]13,14 The utility of electroencephalography (EEG) in catatonia is widely acknowledged, particularly to exclude seizures and nonconvulsive status epilepticus. 15 Even in cases of catatonia attributed to psychiatric conditions, EEGs are abnormal in more than 50% of cases.…”

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confidence: 99%

Suspected Delirium Predicts the Thoroughness of Catatonia Evaluation

Llesuy

Coffey

Jacobson

et al. 2017

JNP

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Although commonly linked to psychiatric disorders, catatonia is frequently identified secondary to neurological and general medical conditions (GMCs). The present study aimed to characterize the diagnostic workup of cases of catatonia in a general hospital setting. The authors performed a retrospective chart review of 54 cases of catatonia, over 3 years. Clinical suspicion of comorbid delirium was the strongest predictor of a more thorough general medical workup. Attribution of catatonia to a psychiatric etiology was associated with significantly less diagnostic workup. Prospective studies should help clarify the relationship between catatonia and delirium and standardize the diagnostic approach to patients presenting with catatonia.

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Postpartum Catatonia Associated With Atypical Posterior Reversible Encephalopathy Syndrome

Cited by 13 publications

References 8 publications

Donkin psychosis

Donkin psychosis

Catatonia After Liver Transplantation

Suspected Delirium Predicts the Thoroughness of Catatonia Evaluation

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