COVID-19 and Catatonia: Prevalence, Challenges, Pathophysiology, and Treatment
ANNALS OF CLINICAL PSYCHIATRY(2023)
Abstract
BACKGROUND: Emerging literature supports the association between acute COVID-19 infection and neuropsychiatric complications. This article reviews the evidence for catatonia as a potential neuropsychiatric sequela of COVID-19 infection.METHODS: PubMed was searched using the terms catatonia, severe acute respiratory syndrome coronavirus 2, and COVID-19. Articles were lim-ited to those published in the English language between 2020 and 2022. Forty-five articles that specifically studied catatonia associated with acute COVID-19 infection were screenedRESULTS: Overall, 30% of patients with severe COVID-19 infection devel-oped psychiatric symptoms. We found 41 cases of COVID-19 and catato-nia, with clinical presentations that varied in onset, duration, and severity. One death was reported in a case of catatonia. Cases were reported in patients with and without a known psychiatric history. Lorazepam was successfully used, along with electroconvulsive therapy, antipsychotics, and other treatments.CONCLUSIONS: Greater recognition and treatment of catatonia in individ-uals with COVID-19 infection is warranted. Clinicians should be familiar with recognizing catatonia as a potential outcome of COVID-19 infec-tion. Early detection and appropriate treatment are likely to lead to bet -ter outcomes.
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Post-acute COVID-19 Syndrome
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