Letters to the Editor Response of Catatonic Schizophrenia to Amisulpride:

drome in which an abnormal mental state is associated with cataleptic phenomena; namely, akinesia, posturing, and man-nerisms (1). Despite its emerging link to affective disorders, catatonia is still clas-sified in DSM-IV as a subtype of schizo-phrenia. The prevalence is as high as 10 % of all schizophrenia cases (2). Catatonia can be acute or chronic; there-fore, treatment varies accordingly (3). Acute presentations are most effectively treated with high dosages of benzo-diazepenes or with ECT (4,5). Case re-ports of treatment with antipsychotics exist (6,7). Chronic presentations prove more challenging to treat and have shown poor response to these standard therapies (3). We report a case of an indi-vidual with chronic catatonic schizo-phrenia who responded to amisulpride. To our knowledge, this is the first re-ported case of its kind in the literature. Case Report Mr D, a 24-year-old white man, was hos-pitalized for catatonic schizophrenia at age 21 years. His symptoms included mutism, facial grimacing, posturing, and periods of catatonic excitement and stu-por. Extensive laboratory evaluations and diagnostic imaging were all unre-markable. Scores on the Bush-Francis Catatonia Rating Scale (BFCRS) varied throughout his illness, with a high of 18