Catatonia associated globe vesicale

Abstract

Catatonia is a syndrome that includes catalepsy, waxy flexibility, stupor, negativism, mutism, and echolalia. Side effects such as dehydration, malnutrition, constipation, flexion contractors and rhabdomyolysis may develop due to catatonia. Here, we aimed to report a case of globe vesicale associated with catatonia and the successful treatment of this case with benzodiazepine use and electroconvulsive therapy (ECT) treatment. As a result, the globe vesicale should be considered in patients presenting with catatonia and if present it should be treated urgently.

Keywords

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Katatoniye bağlı glob vezikale

Öz

Katatoni; katalepsi, balmumu esnekliği, stupor, negativizm, mutizm ve ekolali gibi belirtilerin gözlendiği bir sendromdur. Katatoniye bağlı susuz kalma, yetersiz beslenme, kabızlık, fleksiyon kasılmaları ve rabdomiyoliz gibi yan etkiler gelişebilir. Bu olgu sunumunda katatoniye bağlı glob vezikale olgusunu sunmayı planladık. Bu olgu uygulanan benzodiyazepin ve elektrokonvulsif tedavi (EKT) ile tamamen düzelmiştir. Katatoni şikayeti ile başvuran hastalarda glob vezikale gelişebileceği göz önünde bulundurulmalı ve glob vezikale geliştiyse acilen tedavi edilmelidir.

Anahtar Kelimeler

• katatoni, glob vezikale, EKT

Kaynakça

1. Taylor MA, Fink M. Catatonia in psychiatric classification: a home of its own. Am J Psychiatry 2003;160:1233-1241.
2. Fink M, Taylor MA. The many varieties of catatonia. Eur Arch Psychiatry Clin Neurosci 2001;251:8-13.
3. Vırıt O, Kokaçya MH, Kalenderoğlu A, Altındağ A, Savaş HA. Karmaşık Bir Katatoni Olgusu. Klinik Psikiyatri 2009;12:51-55.
4. Madan R, Lantz MS. Catatonia in late–life: the importance of recognizing an uncommon syndrome. Clin Geriatr 2003;11:26-28.
5. Şengül C, Dilbaz N, Üstün İ, Balcı-Şengül C, Okay T. Subklinik hipotiroidinin eşlik ettiği bir periyodik katatoni olgusu. Anadolu Psikiyatri Dergisi 2005;6:57-59.
6. Choong S, Emberton M. Acute urinary retention. BJU International 2000; 85:186-201
7. Waterhouse N, Beaumont AR, Murray K, Staniforth P, Stone MH. Urinary retention after total hip replacement. A prospective study. J Bone Joint Surg Br 1987; 69: 64-66.
8. Swartz C, Galang RL. Adverse outcome with delay in identification of catatonia in elderly patients. Am J Geriatr Psychiatry 2001;9:78- 80.

9. Levenson JL. Medical Aspects of Catatonia. Primary Psychiatry 2009;16:23-26.
10. Kaufmann RM, Schreinzer D, Strnad A, Mossaheb N, Kasper S, Frey R. Case report: intestinal atonia as an unusual symptom of malignant catatonia responsive to electroconvulsive therapy. Schizophr Res 2006;84:178-179.
11. Regestein QR, Ge, Kahn CB, Siegel AJ, Blacklow RSnack A. A case of catatonia occurring simultaneously with severe urinary retention. Journal of Nervous & Mental Disease 1971;152:432-435.