{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T10:36:13Z","timestamp":1794047773611,"version":"4.8.0"},"reference-count":32,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["clinical-practice-and-epidemiology-in-mental-health.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["CPEMH"],"published-print":{"date-parts":[[2021,5,24]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Catatonia is a syndrome of altered motor behavior that is mostly associated with general medical, neurologic, mood and schizophrenia-spectrum disorders. The association of newly onset catatonic symptoms with hyponatremia has been rarely reported in the literature.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>We present a rare case of a young female patient with schizophrenia, who presented with catatonic symptoms in the context of hyponatremia due to water intoxication. The symptoms were eliminated with the correction of hyponatremia. There are only a few reports of hyponatremia-associated catatonia in psychiatric and non-psychiatric patients. Sometimes, catatonic symptoms may co-occur with newly onset psychotic symptoms and confusion, suggesting delirium. In several cases, the catatonic symptoms responded to specific treatment with benzodiazepines or electroconvulsive therapy.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>\n                        Conclusion:\n                    <\/jats:title>\n                    <jats:p>Hyponatremia may induce catatonic symptoms in patients, regardless of underlying mental illness, but this phenomenon is even more relevant in patients with a psychotic or mood disorder, which may itself cause catatonic symptoms. It is important for clinicians not to attribute newly-onset catatonic symptoms to the underlying psychotic or mood disorder without measuring sodium serum levels. The measurement of sodium serum levels may guide treating psychiatrists to refer the patient for further investigation and appropriate treatment.<\/jats:p>\n                <\/jats:sec>","DOI":"10.2174\/1745017902117010026","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T11:02:40Z","timestamp":1621940560000},"page":"26-30","update-policy":"https:\/\/doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Catatonia Associated with Hyponatremia: Case  Report and Brief  Review of the Literature"],"prefix":"10.2174","volume":"17","author":[{"given":"Vaios","family":"Peritogiannis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios V.","family":"Rizos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1173","DOI":"10.1001\/archgenpsychiatry.2009.141","volume":"66","author":"Fink M.","year":"2009","unstructured":"Fink M, Taylor MA. \n                        The catatonia syndrome: forgotten but not gone. \n                        Arch Gen Psychiatry  \n                        2009; \n                        66\n                        (11)\n                        : 1173-7.","journal-title":"Arch. 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An exploratory study. \n                        Psychiatry Clin Neurosci  \n                        2014; \n                        68\n                        (8)\n                        : 644-51.","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1837","DOI":"10.1097\/CCM.0000000000002642","volume":"45","author":"Wilson J.E.","year":"2017","unstructured":"Wilson JE, Carlson R, Duggan MC, et al. \n                        Delirium and catatonia in critically ill patients: The decat prospective cohort investigation. \n                        Crit Care Med  \n                        2017; \n                        45\n                        (11)\n                        : 1837-44.","journal-title":"Crit. 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