ECT treatment of malignant catatonia/NMS in an adolescent: A useful lesson in delayed diagnosis and treatment

被引：25

作者：

Ghaziuddin, N ^{[1
]}

Alkhouri, I ^{[1
]}

Champine, D ^{[1
]}

Quinlan, P ^{[1
]}

Fluent, T ^{[1
]}

Ghaziuddin, M ^{[1
]}

机构：

[1] Univ Michigan, Div Child & Adolescent Psychiat, Ann Arbor, MI 48109 USA

来源：

JOURNAL OF ECT | 2002年 / 18卷 / 02期

关键词：

adolescent; neuroleptic malignant syndrome; catatonia; electroconvulsive therapy;

D O I：

10.1097/00124509-200206000-00006

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

A 17-year-old adolescent female presented to a psychiatric emergency room with excitement, confusion, and psychotic symptoms. After brief exposure to haloperidol and olanzapine, she developed fever, rigidity, waxy flexibility, autonomic instability, and elevated creatinine phosphokinase enzyme. Approximately 6 weeks after the onset of the illness, multiple laboratory tests, and evaluation at three different hospitals, the condition was effectively treated with electroconvulsive therapy (ECT). This case is a lesson in delayed recognition and the delayed use of ECT for the malignant catatonia/neuroleptic malignant syndrome.

引用

页码：95 / 98

页数：4

共 14 条

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[2]

[Anonymous], 1993, Psychiatric Bulletin

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