@article{ref1,
title="Agitation after minor trauma: combativeness as a cardinal catatonic feature",
journal="BMJ case reports",
year="2013",
author="Luykx, Jurjen Justin and Post, Elmar Hendrik and Erf, Maaike van der and Van Hecke, Jan",
volume="2013",
number="jun03_1",
pages="bcr-2012",
abstract="Catatonia is a syndrome of motor dysregulation, usually associated with psychiatric, neurological, systemic and drug-related diseases. Retarded and excited types exist, both of which often go unrecognised in clinical practice. We describe a 64-year-old woman who gradually developed insomnia, started communicating less, complained of feeling restless and ended up injuring relatives. Initiation of symptoms followed a fibula fracture. The patient was diagnosed with excited-type catatonia with prominent combativeness because of minor trauma and rapidly recovered after lorazepam treatment instatement. Our case demonstrates that catatonia can follow minor traumatic injury and how excited-type catatonic features may go unrecognised in general practitioner and specialist settings. Moreover, we show that catatonia may be recurrent, necessitating long-term treatment and very gradual lorazepam tapering.<p /> <p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2012-008217",
url="http://dx.doi.org/10.1136/bcr-2012-008217"
}