Treatment of a Complex Case of Catatonia and Conversion Features With Electroconvulsive Therapy in a 14-Year-Old Male
| Autor: | Cody Roi, Bradley Peet, Luke Verret, Erich J. Conrad |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pediatrics
medicine.medical_specialty Catatonia medicine.medical_treatment electroconvulsive therapy 03 medical and health sciences 0302 clinical medicine Electroconvulsive therapy medicine Case Reports and Clinical Observations Conversion disorder Risperidone business.industry conversion disorder Thought disorder Lorazepam General Medicine medicine.disease mental disorders 030227 psychiatry Etiology medicine.symptom business 030217 neurology & neurosurgery medicine.drug Pediatric population |
| Zdroj: | The Ochsner Journal |
| ISSN: | 1524-5012 |
| Popis: | Background: Pediatric catatonia is a rare and poorly understood phenomenon. The majority of reported cases have a psychiatric etiology. Because of the heterogeneous presentation and treatment issues unique to the pediatric population, identification and management can be challenging. Additionally, few definitive guidelines or practice parameters are available for pediatric patients. The first-line treatment for catatonia is pharmacologic, and when treatment fails or is inadequate, electroconvulsive therapy (ECT) has been shown to be safe and effective. Case Report: A previously healthy, 14-year-old male presented with acute onset of catatonia that resolved at 4 weeks after a short course of ECT with adjunctive lorazepam and risperidone. An interesting feature of this case was the resolution of autonomic symptoms and the emergence of conversion features. The resolution of the catatonia (negativism, mutism, and withdrawal) made it possible for the team to identify a thought disorder and initiate appropriate pharmacologic treatment for the precipitating etiology. Conclusion: ECT was a safe and effective treatment for the resolution of catatonia symptoms in this patient. Conversion and catatonia features may exist on a continuum. |
| Databáze: | OpenAIRE |
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