Tab. 1: According to the item Bush-Francis Catatonia Rating Scale (BFCRS), here partially modified and partially reported, the severity of catatonia is. The Bush- Francis Catatonia Rating Scale (BFCRS) is a standardised, quantifiable examination of catatonia designed to screen and diagnose. The Bush Francis Catatonia Rating Scale (BFCRS) was the tool used to ascertain catatonia signs in study patients. The first 14 items of the BFCRS make up the.

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Detection and measurement of catatonia. Kahlbaum was the first to propose catatonia as a separate disease following the example of general paresis of the insane, which served as a model for establishing a nosological entity.

Perhaps the European catatonia rating scales could provide improved detection, recognition, and measurement of treatment response and provide options for research into catatonia. Diagnosis and treatment of catatonia in the psychiatry consultation service is not infrequent. Besides, the possibility of decreased daylight exposure acting as a precipitating factor was observed during our 15 frwncis of follow-up.

Nonetheless, the presence of katatonia predicts a favorable response of these signs to interventions like intravenous amobarbital, lorazepam and other benzodiazepinesand ECT. At this point of time, the pathobiology of catatonia is unknown; the crancis reason for considering catatonia as a separate diagnostic entity would be to increase recognition of this eminently treatable neuropsychiatric syndrome.


Some patients would still score 3 to 12 points even when clinical improvement has occurred. It is not possible to develop a treatment protocol because the evidence actatonia catatonia management on the basis of the articles reviewed is limited. Additionally, the traditional category of catatonic schizophrenia has been deleted.

Most patients became catatonia -free within one day but some may require up to a week. We reviewed the literature using PubMed. Incidence, and response to benzodiazepines.

Bush-Francis Catatonia Rating Scale (BFCRS)

Suspected neurotransmitter systems include gamma-aminobutyric acid GABA and glutamate. The presence of two or more of the screening items for 24 hours ratong longer meets the diagnosis for catatonia proposed by Bush et al. T tests indicated 1 cluster SMA to be specific to catatonia. There does not seem to be evidence ratinng the use of antipsychotics in catatonic patients without any underlying psychotic disorder.

Applying the treatments for catatonia to patients with these syndromes offers opportunities for clinical relief.

The Detection and Measurement of Catatonia

Detailed treatment records of all the inpatients were scanned for the period January to December The catatonia rating rafing must detect patients who may exhibit catatonia and identify catatonic signs reliably. Further larger scale studies are required to clarify the nature and management, as well as, service requirements for catatonia.

The majority of patients with catatonia have concurrent psychosis. Of sale patients, the ratio of neurological to psychiatric patients was 3: The catatonia rating scale I: The syndrome of Karl Rrancis Kahlbaum. Chronic ‘speech catatonia ‘ with constant logorrhea, verbigeration and echolalia successfully treated with lorazepam: Catatonia though common, its combination with the Cotard syndrome is exceeding rare and more so the response with the pharmacotherapy as in our case.


The purpose of the study presented here is the validation of this scale by analyzing the intra-rater and inter-rater reliability as well as concurrent validity.

Catatonia is potentially life threatening. Catatonia has been defined as a cluster of signs and occurs secondary to or as a subgroup of schizophrenia, mood disorders or organic syndrome. It is quickly treatable to remission by benzodiazepines and by ECT. In this report, we describe the presentation and course of catatonia in an adolescent with autism who responded to electroconvulsive therapy ECT. Neuropsychiatry Neuropsycholand Behav Neurol. This is highly compatible with a dysregulated motor system in catatoniaparticularly affecting premotor areas.

Abstract Catatonia is a psychomotor syndrome that not only frequently occurs in the context of schizophrenia but also in other conditions.