Resistant Catatonia in a 10-year-old Child: A Case Report
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 lif...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2023-05-01
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| Series: | Journal of Nepal Medical Association |
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| Online Access: | http://jnma.com.np/jnma/index.php/jnma/article/view/8152 |
| _version_ | 1827108103317880832 |
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| author | Amit Jha |
| author_facet | Amit Jha |
| author_sort | Amit Jha |
| collection | DOAJ |
| description |
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.
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| first_indexed | 2024-03-13T10:07:09Z |
| format | Article |
| id | doaj.art-1bd11698bf6e4266a319a09d42dd5993 |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2025-03-20T10:21:11Z |
| publishDate | 2023-05-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-1bd11698bf6e4266a319a09d42dd59932024-09-23T18:38:33ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-05-016126110.31729/jnma.8152Resistant Catatonia in a 10-year-old Child: A Case ReportAmit Jha0Child and Adolescent Mental Health Unit, Kanti Children’s Hospital, Maharajgunj, Kathmandu, Nepal 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. http://jnma.com.np/jnma/index.php/jnma/article/view/8152benzodiazepines; case reports; catatonia; electroconvulsive therapy. |
| spellingShingle | Amit Jha Resistant Catatonia in a 10-year-old Child: A Case Report Journal of Nepal Medical Association benzodiazepines; case reports; catatonia; electroconvulsive therapy. |
| title | Resistant Catatonia in a 10-year-old Child: A Case Report |
| title_full | Resistant Catatonia in a 10-year-old Child: A Case Report |
| title_fullStr | Resistant Catatonia in a 10-year-old Child: A Case Report |
| title_full_unstemmed | Resistant Catatonia in a 10-year-old Child: A Case Report |
| title_short | Resistant Catatonia in a 10-year-old Child: A Case Report |
| title_sort | resistant catatonia in a 10 year old child a case report |
| topic | benzodiazepines; case reports; catatonia; electroconvulsive therapy. |
| url | http://jnma.com.np/jnma/index.php/jnma/article/view/8152 |
| work_keys_str_mv | AT amitjha resistantcatatoniaina10yearoldchildacasereport |