Evidence map›Paper›PMID 34842777›Full record

ReviewNeurology international2021

Catatonia: Clinical Overview of the Diagnosis, Treatment, and Clinical Challenges.

Amber N Edinoff, Sarah E Kaufman, Janice W Hollier, Celina G Virgen, Christian A Karam, Garett W Malone, Elyse M Cornett, Adam M Kaye, Alan D Kaye

Open access · goldAbstract readReview
In one paragraph

Review in Neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Systematic Review of Symptoms of Catatonia in Autism Spectrum Disorder.Journal of autism and developmental disorders · 2026
    Pooled it
  2. The use of antipsychotics in the treatment of catatonia: a systematic review.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  3. Pooled it
  4. Guideline
  5. Review
  6. Article
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  14. Difficult to Treat Catatonia: A Case Series.Indian journal of psychological medicine · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Amber N EdinoffDepartment of Psychiatry and Behavioral Medicine, Louisiana State University Health Shreveport, 1501 Kings Hwy, Shreveport, LA 71103, USA.
Sarah E KaufmanDepartment of Psychiatry and Behavioral Medicine, Louisiana State University Health Shreveport, 1501 Kings Hwy, Shreveport, LA 71103, USA.ORCID 0000-0001-6979-9752
Janice W HollierDepartment of Psychiatry and Behavioral Medicine, Louisiana State University Health Shreveport, 1501 Kings Hwy, Shreveport, LA 71103, USA.
Celina G VirgenDepartment of Anesthesiology, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 84006, USA.
Christian A KaramSchool of Medicine, Louisiana State University Health Shreveport, Shreveport, LA 71103, USA.
Garett W MaloneSchool of Medicine, Louisiana State University Health Shreveport, Shreveport, LA 71103, USA.
Elyse M CornettDepartment of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA 71103, USA.
Adam M KayeDepartment of Pharmacy Practice, Thomas J. Long School of Pharmacy, University of the Pacific, Stockton, CA 95211, USA.ORCID 0000-0002-7224-3322
Alan D KayeDepartment of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA 71103, USA.ORCID 0000-0003-2464-0187
Louisiana State University in Shreveport · USUniversity of the Pacific · USUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Catatonia is a syndrome that has been associated with several mental illness disorders but that has also presented as a result of other medical conditions. Schizophrenia and other psychiatric disorders such as mania and depression are known to be associated with catatonia; however, several case reports have been published of certain medical conditions inducing catatonia, including hyponatremia, cerebral venous sinus thrombosis, and liver transplantation. Neuroleptic Malignant Syndrome and anti-NMDA receptor encephalitis are also prominent causes of catatonia. Patients taking benzodiazepines or clozapine are also at risk of developing catatonia following the withdrawal of these medications-it is speculated that the prolonged use of these medications increases gamma-aminobutyric acid (GABA) activity and that discontinuation may increase excitatory neurotransmission, leading to catatonia. The treatment of catatonia often involves the use of benzodiazepines, such as lorazepam, that can be used in combination therapy with antipsychotics. Definitive treatment may be found with electroconvulsive therapy (ECT). Aberrant neuronal activity in different motor pathways, defective neurotransmitter regulation, and impaired oligodendrocyte function have all been proposed as the pathophysiology behind catatonia. There are many clinical challenges that come with catatonia and, as early treatment is associated with better outcomes, it becomes imperative to understand these challenges. The purpose of this manuscript is to provide an overview of these challenges and to look at clinical studies regarding the pathophysiology, diagnosis, and treatment of as well as the complications and risk factors associated with catatonia.

Indexed as

benzodiazepinescatatoniaECTschizophrenia

Identifiers

PMID34842777
PMCPMC8628989
OpenAlexW3214694226

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.