Email this article Catatonic schizophrenia: historical error of psychiatric taxonomy?
- Authors: Sivolap Y.P.1, Portnova A.A.2
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Affiliations:
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- The Serbsky State Scientific Center for Social and Forensic Psychiatry
- Issue: Vol LIII, No 4 (2021)
- Pages: 5-10
- Section: Editorial
- URL: https://journals.rcsi.science/1027-4898/article/view/90541
- DOI: https://doi.org/10.17816/nb90541
- ID: 90541
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Abstract
Numerous clinical observations and studies of recent decades allow us to question the existence of a catatonic form of schizophrenia or, in any case, the legitimacy of the unconditional attribution of all cases of catatonia to schizophrenia. Antipsychotics used in the treatment of schizophrenia are often ineffective in patients with catatonia, can worsen its manifestations and increase the risk of malignant neuroleptic syndrome. The first-line drugs in the treatment of catatonia are lorazepam and other benzodiazepines, and electroconvulsive therapy is used in case of their ineffectiveness. The concept of the independence of catatonia as a separate neuropsychiatric disease requiring the special therapeutic approaches that do not coincide with traditional treatment of schizophrenia deserves attention.
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##article.viewOnOriginalSite##About the authors
Yury P. Sivolap
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: yura-sivolap@yandex.ru
ORCID iD: 0000-0002-4494-149X
SPIN-code: 3586-5225
Scopus Author ID: 6604012934
ResearcherId: G-6160-2018
Dr. Sci. (Med.), Professor
Russian Federation, 119991, Moscow, Trubetskaya str., 8 (2)Anna A. Portnova
The Serbsky State Scientific Center for Social and Forensic Psychiatry
Email: aapserbsky@mail.ru
ORCID iD: 0000-0001-5938-0202
SPIN-code: 5899-0069
Scopus Author ID: 6602193535
Dr. Sci. (Med.)
Russian Federation, 119034, Moscow, Kropotkinsky Lane, 23 (1)References
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