Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient
Catatonia is an illness that overlaps with depression, dementia, and delirium, creating a diagnostic challenge. We present a case of catatonia in an older patient who initially presented with hypoactive delirium and who was later determined to have progressive dementia. Her physical examination show...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2024-07-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1324 |
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| _version_ | 1850198191652208640 |
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| author | Mallika Lal Katie Drago Rebecca Harrison |
| author_facet | Mallika Lal Katie Drago Rebecca Harrison |
| author_sort | Mallika Lal |
| collection | DOAJ |
| description | Catatonia is an illness that overlaps with depression, dementia, and delirium, creating a diagnostic challenge. We present a case of catatonia in an older patient who initially presented with hypoactive delirium and who was later determined to have progressive dementia. Her physical examination showed signs of echopraxia, mitmachen, mutism, staring, a withdrawn affect, and a marked response to lorazepam, leading to the diagnosis of catatonia. An extensive work-up for an underlying cause was unrevealing. Catatonia was thought to be related to underlying Lewy body dementia in this patient. Our case illustrates the importance of early recognition of catatonia, especially in older patients. |
| format | Article |
| id | doaj-art-db57e40d7d4c4db0bc9f37ef1854bb91 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-db57e40d7d4c4db0bc9f37ef1854bb912025-08-20T02:12:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-07-013710.7326/aimcc.2023.1324Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized PatientMallika Lal0Katie Drago1Rebecca Harrison21Department of Medicine, Oregon Health and Science University, Portland, Oregon1Department of Medicine, Oregon Health and Science University, Portland, Oregon1Department of Medicine, Oregon Health and Science University, Portland, OregonCatatonia is an illness that overlaps with depression, dementia, and delirium, creating a diagnostic challenge. We present a case of catatonia in an older patient who initially presented with hypoactive delirium and who was later determined to have progressive dementia. Her physical examination showed signs of echopraxia, mitmachen, mutism, staring, a withdrawn affect, and a marked response to lorazepam, leading to the diagnosis of catatonia. An extensive work-up for an underlying cause was unrevealing. Catatonia was thought to be related to underlying Lewy body dementia in this patient. Our case illustrates the importance of early recognition of catatonia, especially in older patients.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1324 |
| spellingShingle | Mallika Lal Katie Drago Rebecca Harrison Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient Annals of Internal Medicine: Clinical Cases |
| title | Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient |
| title_full | Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient |
| title_fullStr | Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient |
| title_full_unstemmed | Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient |
| title_short | Thinking Twice About Benzodiazepines: Treatment of Progressive Dementia in a Hospitalized Patient |
| title_sort | thinking twice about benzodiazepines treatment of progressive dementia in a hospitalized patient |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1324 |
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