ECT treatment of malignant catatonia/NMS in an adolescent: a useful lesson in delayed diagnosis and treatment
| Autor: | Neera Ghaziuddin, Iyad Alkhouri, Paul E. Quinlan, Mohammad Ghaziuddin, Thomas Fluent, Donna Champine |
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| Rok vydání: | 2002 |
| Předmět: |
Olanzapine
Diagnostic Imaging Pediatrics medicine.medical_specialty Psychosis Adolescent Catatonia medicine.medical_treatment Neuroscience (miscellaneous) Neuropsychological Tests Diagnosis Differential Benzodiazepines Electroconvulsive therapy Waxy flexibility Haloperidol Medicine Humans Neuroleptic Malignant Syndrome Electroconvulsive Therapy Neurologic Examination Chemotherapy business.industry Brain Electroencephalography Pirenzepine medicine.disease Surgery Neuroleptic malignant syndrome Psychiatry and Mental health Treatment Outcome Female medicine.symptom business medicine.drug |
| Zdroj: | The journal of ECT. 18(2) |
| ISSN: | 1095-0680 |
| Popis: | A 17-year-old adolescent female presented to a psychiatric emergency room with excitement, confusion, and psychotic symptoms. After brief exposure to haloperidol and olanzapine, she developed fever, rigidity, waxy flexibility, autonomic instability, and elevated creatinine phosphokinase enzyme. Approximately 6 weeks after the onset of the illness, multiple laboratory tests, and evaluation at three different hospitals, the condition was effectively treated with electroconvulsive therapy (ECT). This case is a lesson in delayed recognition and the delayed use of ECT for the malignant catatonia/neuroleptic malignant syndrome. |
| Databáze: | OpenAIRE |
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