ECT Treatment of Malignant Catatonia/NMS in an Adolescent: A Useful Lesson in Delayed Diagnosis and Treatment
作者:
Neera Ghaziuddin,
Iyad Alkhouri,
Donna Champine,
Paul Quinlan,
Thomas Fluent,
Mohammad Ghaziuddin,
期刊:
The Journal of ECT
(OVID Available online 2002)
卷期:
Volume 18,
issue 2
页码: 95-98
ISSN:1095-0680
年代: 2002
出版商: OVID
关键词: Adolescent;Neuroleptic malignant syndrome;Catatonia;Electroconvulsive therapy
数据来源: OVID
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.
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