BACKGROUND: Catatonic syndrome is no longer considered a subtype of schizophrenia but is more frequently associated with mood disorders (mania, melancholia, and psychotic depression) as well as general medical conditions (neurological disorders, drug-induced and toxic-induced conditions, metabolic conditions). A case of catatonia is reported which occurred after alcohol withdrawal. CASE REPORT: Catatonia occurred 48 hours after alcohol withdrawal in a 54-year-old woman who had stopped all her treatment (in the context of a type II bipolar disorder). A dramatic improvement of symptoms was observed after oral administration of zolpidem. CONCLUSIONS: This case seems to confirm that catatonia can represents a nonspecific response to stress factors. The withdrawal of multiple medications was already described as a basis for catatonia. Alcohol withdrawal could constitute an additional risk factor for catatonia. The zolpidem test is a useful diagnostic and therapeutic test.
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机译：背景：紧张综合征不再被认为是精神分裂症的一种亚型，但更常与情绪障碍（躁狂、忧郁和精神病性抑郁症）以及一般疾病（神经系统疾病、药物诱发和毒性疾病、代谢疾病）相关。据报道，一例紧张症发生在酒精戒断后。病例报告：一名 54 岁女性在酒精戒断后 48 小时发生紧张症，该女性已停止所有治疗（在 II 型双相情感障碍的背景下）。口服唑吡坦后观察到症状显着改善。结论：这个病例似乎证实了紧张症可以代表对压力因素的非特异性反应。停用多种药物已经被描述为紧张症的基础。酒精戒断可能是紧张症的另一个危险因素。唑吡坦试验是一种有用的诊断和治疗试验。
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