Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test
A case of a 12-year-old boy who developed catatonia is presented. He had no previous psychiatric history but has a family history of affective disorder. An extensive medical workup was negative. Despite a negative lorazepam challenge test, lorazepam was titrated up to 24 mg/day, with resolution of m...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-03-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.637886/full |
| _version_ | 1818562230091776000 |
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| author | Laura Ridgeway Albert Okoye Ian McClelland Dirk Dhossche Deniz Kutay Mario Loureiro |
| author_facet | Laura Ridgeway Albert Okoye Ian McClelland Dirk Dhossche Deniz Kutay Mario Loureiro |
| author_sort | Laura Ridgeway |
| collection | DOAJ |
| description | A case of a 12-year-old boy who developed catatonia is presented. He had no previous psychiatric history but has a family history of affective disorder. An extensive medical workup was negative. Despite a negative lorazepam challenge test, lorazepam was titrated up to 24 mg/day, with resolution of most catatonic symptoms. The case highlights an important point in the management of catatonia that may be a source of confusion, i.e., a positive lorazepam challenge test corroborates the diagnosis of catatonia; however, a negative lorazepam challenge test does not negate the diagnosis of catatonia, and subsequent focused benzodiazepine treatment may still be effective. |
| first_indexed | 2024-12-14T01:00:58Z |
| format | Article |
| id | doaj.art-840875081d404a019680473d1e0ef19a |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-14T01:00:58Z |
| publishDate | 2021-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-840875081d404a019680473d1e0ef19a2022-12-21T23:23:16ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-03-011210.3389/fpsyt.2021.637886637886Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge TestLaura Ridgeway0Albert Okoye1Ian McClelland2Dirk Dhossche3Deniz Kutay4Mario Loureiro5Department of Child and Adolescent Psychiatry, University Hospital Waterford, Waterford, IrelandDepartment of Child and Adolescent Psychiatry, University Hospital Waterford, Waterford, IrelandDepartment of Liaison Psychiatry, Children's University Hospital, Dublin, IrelandDepartment of Psychiatry and Human Behaviour, University of Mississippi Medical Center, Jackson, MS, United StatesDepartment of Child and Adolescent Psychiatry, University Hospital Waterford, Waterford, IrelandDepartment of Child and Adolescent Psychiatry, University Hospital Waterford, Waterford, IrelandA case of a 12-year-old boy who developed catatonia is presented. He had no previous psychiatric history but has a family history of affective disorder. An extensive medical workup was negative. Despite a negative lorazepam challenge test, lorazepam was titrated up to 24 mg/day, with resolution of most catatonic symptoms. The case highlights an important point in the management of catatonia that may be a source of confusion, i.e., a positive lorazepam challenge test corroborates the diagnosis of catatonia; however, a negative lorazepam challenge test does not negate the diagnosis of catatonia, and subsequent focused benzodiazepine treatment may still be effective.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.637886/fullcatatoniapaediatricdepressionlorazepamcatatonia behaviorchild |
| spellingShingle | Laura Ridgeway Albert Okoye Ian McClelland Dirk Dhossche Deniz Kutay Mario Loureiro Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test Frontiers in Psychiatry catatonia paediatric depression lorazepam catatonia behavior child |
| title | Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test |
| title_full | Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test |
| title_fullStr | Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test |
| title_full_unstemmed | Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test |
| title_short | Case Report: A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test |
| title_sort | case report a case of pediatric catatonia role of the lorazepam challenge test |
| topic | catatonia paediatric depression lorazepam catatonia behavior child |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.637886/full |
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