Catatonic syndrome

Catatonic syndrome musculoskeletal disorders the nature of excitation (catatonic excitement), the nature of immobilization (catatonic stupor). More excitement precedes stupor. Catatonic excitement initially has a pathetic character. The mood increased, accompanied by enthusiasm, sense of insight and foresight. You may experience unstable ideas of grandeur. However easy, but briefly, there is demoted-of suspense and related statements. It stilted, with frequent use superlatives and ryflowana. Ill say a lot and inconsistent. Sometimes their statements take disconnected character. They say it's very loud, bellowing cry, you suddenly start talking in a whisper. Movement sweeping, emphasized expressive, campy, theatre. In actions - inconsistent and unexpected (impulsive). Patients that are meaningless opposition (negativity), they become unusually obedient (passive obedience). Pathetic excitement is always accompanied by a passion confusion - confusion, which is manifested statements patients on inability to fully understand what is happening to them or around them. Always it is clear that such a state of unusual, sometimes patients are told about their mental illness. When confusion often verhoturcev attention (HyperMethod)when patients pay attention to everything that happens around, although it was not relevant. Further arousal increases, appears foolish, i.e. it takes hebephrenic character. Patients are an unnatural pose, somersault, cut up, wriggling, grimancauti, without cause laugh and mock others, making cynical comments, inappropriate and rude joke. In their statements appear childish intonation or the baby talk. Value silly mood is easily replaced by anger with aggressive actions.
Further strengthening catatonic disorders leads to impulsive excitation - patients commit sudden actions, not related to their previous actions, suddenly jumping out of bed, rush to flee, torn clothes, throw fall under the hand items, smeared with feces, spit make a sudden attack, while taking a mindless fury. Their speech begins to consist of a monotonous repetition of the same words (verberata). Often, they answer not in terms of the issue (monogononta), again in response heard the words (echolalia) or copy the actions of others (echopraxia). In severe cases, the initiation takes chaotic. Not appear coherent whole locomotor acts, and only their separate components or marked simple motion - throwing, crawling, grasping. Chaotic motor excitation is usually dumb.

catatonic stupor
The patient is in a state of catatonic stupor

Catatonic stupor is determined by the silence (mutism) and immobility with different degrees of intensity changes in muscle tone. Stuporous patients externally doesn't react to their environment, nor their condition. They have long can be the same, often uncomfortable position (Fig). Even painful stimuli are presenting them with speech or motor reaction. Their muscles are strained. Voltage begins with the muscles of mastication muscles and always stronger in the muscles of the upper half of the body. At a certain intensity patients remain attached to their limbs or the body position (waxy flexibility) is a stupor with waxy flexibility. Sometimes the patient resists any attempts to change his position, to feed or clothe him negativities stupor. The most severe form is a stupor by numbness. Patients lie with his eyes closed in a pose typical for intrauterine fetus. All their muscles sharply strained.
Partial immobility, accompanied by mutism, mannerisms, blurred phenomena waxy flexibility, called substorm. Catatonic syndrome observed in schizophrenia and certain other mental illnesses. Need urgent hospitalization.