Catatonia, autism, and ECT
| Autor: | Frank K M Zaw, Gordon Bates, Peter Bentham, Vijaya Murali |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
Treatment response medicine.medical_specialty Zolpidem Adolescent Pyridines Catatonia medicine.medical_treatment behavioral disciplines and activities Motor symptoms Electroconvulsive therapy Developmental Neuroscience mental disorders Waxy flexibility medicine Humans Hypnotics and Sedatives Autistic Disorder Electroconvulsive Therapy Psychiatry Involuntary movement Depressive Disorder medicine.disease Combined Modality Therapy Treatment Outcome Psychotic Disorders Pediatrics Perinatology and Child Health Disease Progression Autism Neurology (clinical) medicine.symptom Psychology medicine.drug |
| Zdroj: | Developmental Medicine & Child Neurology. 41:843-845 |
| ISSN: | 0012-1622 |
| DOI: | 10.1017/s001216229900167x |
| Popis: | We describe the clinical presentation, course, and treatment response of a 14-year-old boy with catatonic stupor. This patient, with a preexisting diagnosis of autism, displayed mutism, akinesia, and an extreme level of rigidity, waxy flexibility, posturing, including the psychological pillow, facial grimacing, and other involuntary movements of his upper extremities. In addition he had symptoms suggestive of a depressive disorder as well as some non-specific psychotic symptoms. Intravenous injection of sodium amytal failed to resolve any motor symptoms, although he showed a good response to the zolpidem test. A course of electroconvulsive therapy (ECT) caused dramatic and sustained relief of catatonic stupor without a change in the symptoms of autism. The presentation of catatonia in autism and the use of ECT in children are discussed, and the available literature reviewed. This is the first description of the use of ECT in the treatment of catatonia coinciding with autism and we confirm its efficacy. |
| Databáze: | OpenAIRE |
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