Treatment of catatonia with electroconvulsive therapy in an 11-year-old girl

被引：17
作者：
Chung, Alfred [1 ,2 ]
Varghese, John [1 ,2 ]
机构：
[1] Royal Childrens Hosp, Child & Family Therapy Unit, Herston, Qld 4029, Australia
[2] Royal Childrens Hosp Brisbane, Herston, Qld 4029, Australia
来源：
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY | 2008年 / 42卷 / 03期
关键词：
catatonia; ECT; electroconvulsive therapy; childhood bipolar disorder; prepubertal;
D O I：
10.1080/00048670701827317
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Objective: To report the case of an 11-year-old girl who presented with acute onset of psychotic symptoms with catatonic features treated with electroconvulsive therapy (ECT). Method: Described herein is the case of an 11-year-old, prepubertal girl who presented with catatonic symptoms unresponsive to conventional medical treatment. After thorough clinical investigation and obtaining a second opinion we gained consent from her parents to perform ECT as a life saving procedure. Results: Six ECT treatments were administered with clinical improvement; the patient did develop hypomanic symptoms as a side-effect of ECT. Conclusion: The patient exhibited potentially life-threatening self-harming behaviour secondary to catatonic and psychotic symptoms. Her behaviour and symptoms responded to ECT. The patient developed hypomania that responded to mood stabilization. ECT was a safe and effective treatment for catatonia in this prepubescent girl.
引用
收藏
页码：251 / 253
页数：3
相关论文
共 7 条
[1]   CASE-STUDY - ECT TREATMENT OF A YOUNG GIRL WITH CATATONIA [J].
CIZADLO, BC ;
WHEATON, A .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1995, 34 (03) :332-335
[2]   Case series: Catatonic syndrome in young people [J].
Cohen, D ;
Flament, M ;
Dubos, PF ;
Basquin, M .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1999, 38 (08) :1040-1046
[3]   Catatonia in children and adolescents [J].
Dhossche, D ;
Bouman, N .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1997, 36 (07) :870-871
[4]  
FINK M, 1995, J AM ACAD CHILD PSY, V34, P1256, DOI 10.1097/00004583-199510000-00003
[5]  
Knapp P, 2001, J AM ACAD CHILD PSY, V40, P387, DOI 10.1097/00004583-200104000-00002
[6]   Catatonia in childhood and adolescence [J].
Takaoka, K ;
Takata, T .
PSYCHIATRY AND CLINICAL NEUROSCIENCES, 2003, 57 (02) :129-137
[7]   Incidence of catatonia in children and adolescents in a paediatric psychiatric clinic [J].
Thakur, A ;
Jagadheesan, K ;
Dutta, S ;
Sinha, VK .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2003, 37 (02) :200-203
1