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Catatonic Syndrome in an Adolescent Male Immigrant: A Case Report

Published online by Cambridge University Press:  07 November 2014

Abstract

In this article, we report a unique case of catatonic syndrome in an adolescent male. This patient did not have a primary psychiatric diagnosis before the onset of catatonia, and there was no evidence of any predisposing medical conditions. The episode occurred following the patient's immigration from his native country, an event associated with particular psychological stress. The episode was reversible and demonstrated a prompt but transient response to intravenous administration of lorazepam. Maintenance treatment included oral administration of lorazepam and risperidone. Lorazepam was tapered and eventually discontinued, and symptoms did not recur.

Type
Feature Articles
Copyright
Copyright © Cambridge University Press 1997

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References

1. Gonzalez-Siejo, JC, Ramos, Vincente YM, Lastra Martinez, I, Carbonell, Masia C. Treatment of catatonia with lorazepam [in Spanish]. Actas Luso-Espanolas de Neumlogia, Psiquiatria y Ciencias Afines. 1993;21:9094.Google Scholar
2. Kahlbaum, KL. Catatonia. Lancet. 1976;1:13391341.Google Scholar
3. Carroll, BT, Anfinson, TJ, Kennedy, JC, Yendrek, R, Boutros, M, Bilon, A. Catatonic disorder due to general medical conditions. J Neuropsychiatry Clin Neurosci. 1994;6:122133.Google ScholarPubMed
4. Zarr, ML, Nowak, T. Catatonia and burns. Burns. 1990;16(2):133134.CrossRefGoogle ScholarPubMed
5. Jain, A, Sharma, AK, Kar, P. Subdural haematoma presenting as catatonia. J Assoc Physicians India. 1993;41:615.Google ScholarPubMed
6. Carroll, BT. Catatonia on the consultation-liaison service. Psychosomatics. 1992;33:310315.CrossRefGoogle ScholarPubMed
7. Rosebush, PI, Hildebrand, AM, Furlong, BG, Mazurek, MF. Catatonic syndrome in a general psychiatric inpatient population: frequency, clinical presentation and response to lorazepam. J Clin Psychiatry. 1990;51:357362.Google Scholar
8. Morena, G, Sunderland, B, Bilig, N. Midazolam and the treatment of catatonia in major depression in an older adult. Psychosomatics. 1994;35:392394.CrossRefGoogle Scholar
9. Morrison, JR. Catatonia: retarded and excited types. Arch Gen Psychiatry. 1973;28:3941.CrossRefGoogle ScholarPubMed
10. Philbrick, KL, Rummans, TA. Malignant catatonia. J Neuropsychiatry Clin Neurosci. 1994;6:113.Google ScholarPubMed
11.Ungvari, GS, Leung, CM, Wong, MK, Lau, J. Benzodiazepines in the treatment of catatonic syndrome. Acta Psychiatr Scand. 1994;89:285288.CrossRefGoogle ScholarPubMed
12. Rohland, BM, Carroll, BT, Jacoby, RG. ECT in the treatment of catatonic syndrome. J Affect Disord. 1993;29:255261.CrossRefGoogle ScholarPubMed
13. Nolen, WA, Zwaan, WA. Treatment of lethal catatonia with electroconvulsive therapy and dantrolene sodium: a case report. Acta Psychiatr Scand. 1990;82:9092.CrossRefGoogle ScholarPubMed
14. Keck, PE. Monitoring neuroleptic malignant syndrome. Current Approaches to Psychoses. 1995;4.Google Scholar
15. Fink, M. Treat NMS as catatonia. Psychiatric Times. 1995;12(3):34–9.Google Scholar