Catatonia: A Clinician's Guide to Diagnosis and Treatment Book

	List of patient vignettes
	Preface
	Acknowledgments
	Chronology of catatonia concepts
1	Catatonia: A history	1
	Karl Kahlbaum (1828-1899)	3
	Catatonia purloined: Emil Kraepelin	7
	Other commentators	7
	Catatonia disappears	10
	Interest revives	11
	Present status	15
2	Signs of catatonia are identifiable	19
	Mutism	21
	Stupor	22
	Excitement	23
	Features demonstrated in examination	25
	Catatonic spectrum behaviors	30
3	The many faces of catatonia	33
	Introduction	33
	Subtypes of catatonia	34
	Retarded catatonia (Kahlbaum syndrome)	38
	Malignant catatonia	39
	Neuroleptic malignant syndrome variant of malignant catatonia	45
	Delirious mania, excited catatonia, and oneiroid state	51
	Mixed affective states	57
	Periodic catatonia	58
	Toxic serotonin syndrome	63
	Benign stupor	65
	Primary akinetic mutism	66
4	The differential diagnosis of catatonia	71
	Laboratory tests and catatonia	72
	Conditions in which catatonia is expressed	75
	Conditions that may be mistaken for catatonia	105
5	Catatonia is measurable and common	114
	DSM classification of catatonia	114
	An alternative classification for catatonia	116
	Frequency of identification	120
	Associated psychopathology	125
	Factor analytic studies	127
	Rating scales	129
6	Past treatments for catatonia	133
	Fever therapy	134
	Barbiturates	137
	Benzodiazepines	139
	Insulin coma therapy	140
	Convulsive therapy	141
	Other treatments of catatonia	143
7	Management of catatonia today	147
	Acute treatment	148
	Maintenance treatment protocol	167
	Prophylaxis	171
8	The neurology of catatonia	177
	Motor system dysfunction	179
	Neurochemical aberrations	185
	Epilepsy model	187
	Synthesis and clinical implications	189
9	Back to the future	193
	Catatonia is a stable syndrome	193
	Catatonia is common	194
	Catatonia has many faces	195
	Neuroleptic malignant syndrome is malignant catatonia	195
	Catatonia is not usually associated with schizophrenia	196
	Catatonia is a good-prognosis condition	197
	Catatonia is a syndrome of motor dysregulation	198
	Future studies	199
App. I	Rating scale of catatonia	204
App. II	Examination for catatonia	210
	References	211
	Index	253