{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T23:19:49Z","timestamp":1722381589525},"reference-count":11,"publisher":"American Psychiatric Association Publishing","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP"],"published-print":{"date-parts":[[1964,9]]},"DOI":"10.1176\/ajp.121.3.271","type":"journal-article","created":{"date-parts":[[2014,12,17]],"date-time":"2014-12-17T18:29:06Z","timestamp":1418840946000},"page":"271-272","source":"Crossref","is-referenced-by-count":2,"title":["AN UNUSUAL AND FATAL CASE OF CATATONIC SCHIZOPHRENIA"],"prefix":"10.1176","volume":"121","author":[{"given":"HARBHAJAN","family":"SINGH","sequence":"first","affiliation":[{"name":"Central Medical Bldg., Ottawa, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"230","reference":[{"key":"p_1","volume-title":"Precis de Psychiatrie. Edit Masson","author":"Baruk E.","year":"1950"},{"key":"p_2","first-page":"8","volume":"26","author":"Baruk E.","year":"1941","journal-title":"Encephale"},{"key":"p_3","first-page":"14","volume":"83","author":"Seyffarth H.","year":"1950","journal-title":"Rev. Neurol."},{"key":"p_4","first-page":"1057","volume":"78","author":"Mattioffi-Foggia C.","year":"1957","journal-title":"Riv. Pat. Neurol."},{"key":"p_5","volume-title":"Electrodiagnosis and Electromyography","author":"Licht S.","year":"1961","edition":"2"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.120.8.817"},{"key":"p_7","volume-title":"American Handbook of Psychiatry","author":"Arieti S.","year":"1959"},{"key":"p_8","first-page":"373","volume":"23","author":"Claude H.","year":"1928","journal-title":"Encephale"},{"key":"p_11","unstructured":"In September 1963 a 20-year-old female patient was admitted from emergency to internal medicine because of confusion, disorientation, agitation and delusions, started immediately after the patient hit her head against a wall when she fell in the bathroom. She was kept sedated overnight and seen by me in consultation next morning. I found her withdrawn, with apparent flatness of affect, mannerisms, grimacing and talking in a low not understandable voice. She was confused and disoriented and stated that she was married to the security guard who stayed with her overnight. To complicate the picture she had clouding of consciousness. I diagnosed her as a case of catatonic schizophrenia but because of clouding of consciousness an organic psychosis could not be ruled out. According to the history gathered from husband and family, the patient had a fairly normal premorbid personality, she had gotten married recently and only for the last few months she had become progressively withdrawn. I"},{"key":"p_12","unstructured":"1Central Medical Bldg., Ottawa, Canada. conducted an I.V. sodium amytal interview which did not reveal much and patient became withdrawn, quiet and stuporous. I started her on ECT. However after the first treatment she developed tachycardia, hyperpyrexia and Jacksonian type of convulsions. Because of this new development the internist thought that it might be a case of acute thyrotoxicosis and that ECT should be postponed until further tests were done-P.B.I., E.K.G. and skull x-rays did not reveal anything significant except for signs of tachycardia. EEC revealed irregular abnormal rhythm more localized on the left side. An L.P. revealed definite increase in CSF pressure. At this point a neurological consultation was asked and the neurologist felt that there probably was a space-occupying lesion in the brain. A neurosurgeon was called in, who agreed with the neurologist and transferred the patient to neurosurgery. Repeated EEC pneumoencephalogram and angiogram were obtained but these failed to reveal any new significant findings. Clinically the patient was becoming progressively more withdrawn, agitated, stuporous and unresponsive. She had hyperpyrexia 105#{176}F.and tachycardia, and ophthalmology, gynaecology, urology and further internal medicine consultations failed to reveal anything significant. Repeated blood, urine and CSF cultures including those for virus were within normal limits. She received vanous antibiotics. Patient died on Oct. 10, 1963. Post-mortem studies revealed the cause of death to be bronchopneumonia and the illness was attributed to schizophrenia with malnutrition, dehydration and electrolyte derangement. Virus and fungus cultures from various parts of body were negative."},{"key":"p_22","volume-title":"Resident in Psychiatry","author":"Mental Hygiene Consultation Service"}],"container-title":["American Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/psychiatryonline.org\/doi\/10.1176\/ajp.121.3.271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T11:49:20Z","timestamp":1721821760000},"score":1,"resource":{"primary":{"URL":"https:\/\/psychiatryonline.org\/doi\/10.1176\/ajp.121.3.271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1964,9]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1964,9]]}},"alternative-id":["10.1176\/ajp.121.3.271"],"URL":"https:\/\/doi.org\/10.1176\/ajp.121.3.271","relation":{},"ISSN":["0002-953X","1535-7228"],"issn-type":[{"value":"0002-953X","type":"print"},{"value":"1535-7228","type":"electronic"}],"subject":[],"published":{"date-parts":[[1964,9]]}}}