Catalepsy

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Female patient with melancolie catalepsy Wellcome L0040298 (cropped)
Rigidity of the body produced by catalepsy
File:Catalepsie catalepsy hypnosis 1941.jpg
Catalepsie catalepsy hypnosis 1941

Catalepsy is a medical condition characterized by a trance or seizure with a loss of sensation and consciousness accompanied by rigidity of the body. This condition is part of a spectrum of disorders that affect motor function, known as catatonia, which can be associated with psychiatric disorders such as schizophrenia, as well as neurological disorders. Individuals experiencing catalepsy may maintain positions into which they are placed for long periods of time.

Symptoms and Signs[edit | edit source]

The hallmark of catalepsy is muscle rigidity and a lack of response to external stimuli. The person may remain in an unusual posture for hours, days, or longer, resisting efforts to be moved. Other symptoms may include a decreased sensitivity to pain, stiffness, and fixed, staring eyes without blinking.

Causes[edit | edit source]

Catalepsy can be caused by various conditions, including psychiatric disorders like schizophrenia, psychotic disorders, and bipolar disorder. It can also be a symptom of neurological conditions such as Parkinson's disease or epilepsy. Certain drugs, particularly those that block dopamine receptors, can also induce catalepsy.

Diagnosis[edit | edit source]

Diagnosis of catalepsy involves observing the symptoms and ruling out other conditions that could cause similar symptoms. This may include a thorough medical and psychiatric history, physical examination, and sometimes, neuroimaging tests to exclude neurological causes.

Treatment[edit | edit source]

Treatment of catalepsy depends on its underlying cause. If it is related to a psychiatric condition, antipsychotic medications and other psychiatric treatments may be effective. In cases where catalepsy is due to neurological disorders, treating the underlying condition can help alleviate the symptoms. Physical therapy may also be recommended to prevent complications from prolonged immobility.

Prognosis[edit | edit source]

The prognosis for catalepsy varies depending on its cause. With appropriate treatment, individuals may experience significant improvement. However, in some cases, catalepsy can recur, requiring ongoing management.

In Popular Culture[edit | edit source]

Catalepsy has been a subject in literature and movies, often depicted in a sensational manner. It is important to differentiate these fictional portrayals from the medical reality of the condition.


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Contributors: Prab R. Tumpati, MD