Resistant Catatonia in a 10-year-old Child: A Case Report

Journal of Nepal Medical Association

article

AmitJha¹ 

[1] Child and Adolescent Mental Health Unit, Kanti Children’s Hospital

关键词: benzodiazepines;    case reports;    catatonia;    electroconvulsive therapy.;   

DOI  :  10.31729/jnma.8152

学科分类：社会科学、人文和艺术（综合）

来源: Nepal Medical Association since

【 摘 要 】

Catatonia is a psycho-motor disorder associated with various psychiatric, neurological, and medical illnesses. It is due to alteration in GABAergic circuits and basal ganglia. Management includes identifying the underlying cause and handling complications with supportive treatment. It can cause life-threatening complications like dehydration and cardiac arrest. The risks are more in children and adolescent populations. Benzodiazepines and electro-convulsive therapy are treatment modalities. In this case report we discuss about a child who was resistant to both lorazepam and electroconvulsive therapy. Resistance to both first-line management is a rare phenomenon. We were able to manage with a combination of antipsychotics and antidepressants. Catatonia in children may respond late to treatment. Symptomatic treatment, ruling out organic causes, and judicious use of pharmacotherapy can be beneficial in resistant cases.

【 授权许可】

CC BY