MGM Medical College and Hospital, India.
Liaquat University of Medical and Health Science, Jamshoro, Pakistan.
J Ayub Med Coll Abbottabad. 2022 Apr-Jun;34(2):357-359. doi: 10.55519/JAMC-02-9899.
Catatonia is a psychomotor syndrome characterized by numerous clinical features, a few being stupors which is the most common sign, posturing, forced grasping, echopraxia, etc. There have been cases documented in the literature of Catatonia occurring with COVID-19. This article will focus on the complete and brief overview of catatonia observed in patients with COVID-19 infection.
We outline the evidence of the pathophysiology of COVID-19 in the CNS system, the effect of the virus in inducing catatonia, and its outcome. The literature used in the article is mostly case reports from different parts of the world thus; we have generalized our review taking into consideration multiple factors.
In patients with COVID-19, neuropsychiatric manifestations are very commonly appreciated. Catatonia has been documented in many patients along with respiratory symptoms such as fever, shortness of breath, and cough. There are multiple etiologies associated with this presentation which have been discussed in detail in this article. In many patients, there was no history of any psychiatric illness. The timing of presenting with catatonic features was also different for different individuals.
COVID-19 has been believed to contribute to the presentation of catatonia. There is no specific timeline between the onset of symptoms and the presence of COVID-19 infection. However, coronavirus can be responsible in a few ways for inducing catatonia in patients with or without any previous psychiatric illness. Therefore, COVID-19 should be considered as one of the major factors in this complex psychiatric disease, catatonia.
紧张症是一种以多种临床特征为特征的精神运动综合征，其中一些是昏迷，这是最常见的症状，还有姿势、强制性握持、模仿动作等。文献中有记录到紧张症与 COVID-19 一起发生的病例。本文将重点关注 COVID-19 感染患者中观察到的紧张症的完整和简要概述。
我们概述了 COVID-19 在中枢神经系统中的病理生理学证据、病毒在诱导紧张症中的作用及其结果。本文中使用的文献主要是来自世界不同地区的病例报告，因此，我们综合考虑了多种因素来进行综述。
在 COVID-19 患者中，神经精神表现非常常见。许多患者出现了紧张症，同时还伴有呼吸症状，如发热、呼吸急促和咳嗽。有多种与这种表现相关的病因，在本文中进行了详细讨论。在许多患者中，没有任何精神疾病的病史。出现紧张症特征的时间也因个体而异。
COVID-19 被认为会导致紧张症的出现。症状出现和 COVID-19 感染之间没有特定的时间线。然而，冠状病毒可以通过多种方式导致有或没有任何先前精神疾病的患者出现紧张症。因此，COVID-19 应该被视为这种复杂精神疾病——紧张症的主要因素之一。
