Structure and neural mechanisms of catatonia.

Walther, Sebastian; Stegmayer, Katharina Deborah Lena; Wilson, Jo Ellen; Heckers, Stephan (2019). Structure and neural mechanisms of catatonia. The Lancet. Psychiatry, 6(7), pp. 610-619. Elsevier 10.1016/S2215-0366(18)30474-7

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Catatonia is a psychomotor syndrome associated with several psychiatric and medical conditions. Psychomotor signs range from stupor to agitation, and include pathognomonic features such as verbigeration and waxy flexibility. Disturbances of volition led to the classification of catatonia as a subtype of schizophrenia, but changes in nosology now recognise the high prevalence in mood disorders, overlap with delirium, and comorbidity with medical conditions. Initial psychometric studies have revealed three behavioural factors, but the structure of catatonia is still unknown. Evidence from brain imaging studies of patients with psychotic disorders indicates increased neural activity in premotor areas in patients with hypokinetic catatonia. However, whether this localised hyperactivity is due to corticocortical inhibition or excess activity of inhibitory corticobasal ganglia loops is unclear. Current treatment of catatonia relies on benzodiazepines and electroconvulsive therapy-both effective, yet unspecific in their modes of action. Longitudinal research and treatment studies, with neuroimaging and brain stimulation techniques, are needed to advance our understanding of catatonia.

Item Type:

Journal Article (Review Article)


04 Faculty of Medicine > University Psychiatric Services > University Hospital of Psychiatry and Psychotherapy > Translational Research Center

UniBE Contributor:

Walther, Sebastian and Stegmayer, Katharina Deborah Lena


600 Technology > 610 Medicine & health








Sebastian Walther

Date Deposited:

28 Aug 2019 15:30

Last Modified:

28 Aug 2019 15:30

Publisher DOI:


PubMed ID:



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