51
|
Hutchison L, Silber Y, Rollhaus E, Gnerre C. Amantadine Augmentation in Pediatric Catatonia: A Case Report and Review of the Literature. PSYCHOSOMATICS 2020; 61:193-199. [PMID: 31543245 DOI: 10.1016/j.psym.2019.08.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 08/06/2019] [Accepted: 08/06/2019] [Indexed: 06/10/2023]
Affiliation(s)
- Lisa Hutchison
- Department of Psychiatry, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY.
| | | | - Esther Rollhaus
- Department of Psychiatry, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY
| | - Carolyn Gnerre
- Department of Psychiatry, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY
| |
Collapse
|
52
|
Guinchat V, Cravero C, Lefèvre-Utile J, Cohen D. Multidisciplinary treatment plan for challenging behaviors in neurodevelopmental disorders. HANDBOOK OF CLINICAL NEUROLOGY 2020; 174:301-321. [PMID: 32977887 DOI: 10.1016/b978-0-444-64148-9.00022-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Among symptoms that patients with neurodevelopmental disorders can exhibit, challenging behaviors (CBs) are some of the more complex to face, both for caregivers and the patients themselves. They are more frequent in individuals with severe autism spectrum disorders and intellectual disability, and during the transition period from late childhood to young adulthood. Here, we offer an overview of the therapeutic approaches proven worthy in managing CB. Topics include nonpharmacologic treatments (such as behavioral and family interventions), drug prescriptions, and specific intensive care for life-threatening situations, including inpatient stay in specialized neurobehavioral units. Then, we focus on rare, complex, and resistant clinical presentations, mainly based on the authors' clinical experience. We propose a multimodal intervention framework for these complex presentations, embracing developmental and dimensional approaches. A case presentation illustrates the proposed framework, with the aim of serving readers and health practitioners that are facing such cases.
Collapse
Affiliation(s)
- Vincent Guinchat
- Psychiatric Section of Mental Development, Psychiatric University Clinic, Lausanne University Hospital, Prilly-Lausanne, Switzerland.
| | - Cora Cravero
- Service de Psychiatrie de l'Enfant et de l'Adolescent, APHP.Sorbonne Université, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
| | - Jean Lefèvre-Utile
- Service de Psychiatrie de l'Enfant et de l'Adolescent, APHP.Sorbonne Université, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
| | - David Cohen
- Service de Psychiatrie de l'Enfant et de l'Adolescent, APHP.Sorbonne Université, Groupe Hospitalier Pitié-Salpêtrière, Paris, France; Institut des Systèmes Intelligents et Robotiques, Sorbonne Université, Paris, France
| |
Collapse
|
53
|
Grover S, Suman A, Shouan A. Catatonia in a young woman with intellectual disability and vitamin D deficiency managed with electroconvulsive therapy. JOURNAL OF MENTAL HEALTH AND HUMAN BEHAVIOUR 2020. [DOI: 10.4103/jmhhb.jmhhb_22_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
54
|
Lim CT, Stern JL. Challenges of managing a first episode of pediatric catatonia. Schizophr Res 2019; 209:269-271. [PMID: 31103214 DOI: 10.1016/j.schres.2019.05.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2019] [Revised: 04/16/2019] [Accepted: 05/04/2019] [Indexed: 12/29/2022]
Affiliation(s)
- Christopher T Lim
- Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA.
| | - Jessica L Stern
- Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA, USA; Harvard Medical School, 25 Shattuck Street, Boston, MA, USA
| |
Collapse
|
55
|
Leroy A, Corfiotti C, Nguyen The Tich S, Ferrafiat V, Amad A, Jardri R, Medjkane F. Catatonia Associated With a SCN2A-Related Disorder in a 4-Year-Old Child. Pediatrics 2018; 142:peds.2018-1231. [PMID: 30381472 DOI: 10.1542/peds.2018-1231] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/11/2018] [Indexed: 12/18/2022] Open
Abstract
Catatonia is a rare, underdiagnosed syndrome in children. We report the case of a 4-year-old child admitted for recent social withdrawal alternating with psychomotor excitement, verbigeration, and a loss of toilet readiness. He had a history of neonatal seizures, had been stabilized with vigabatrin, and was seizure free without treatment for several months. The pediatric and psychiatric examination revealed motor stereotypes, mannerism, bilateral mydriasis, and visual hallucinations. Laboratory and brain imaging explorations were initially negative. Catatonic symptoms, as measured with the Pediatric Catatonia Rating Scale, significantly decreased after introducing lorazepam, the first-line recommended treatment of this condition. On the basis of the neonatal seizure history, complementary genetic investigations were performed and revealed a mutation in the SCN2A gene, which encodes the voltage-gated sodium channel Nav1.2. Catatonic symptoms progressively disappeared after reintroducing vigabatrin. At the syndromic level, catatonia in young children appears responsive to high-dose lorazepam and is well monitored by using the Pediatric Catatonia Rating Scale. This case reveals the need for wide-ranging explorations in early-onset catatonia because specific targeted treatments might be available.
Collapse
Affiliation(s)
- Arnaud Leroy
- Laboratoire Sciences Cognitives et Sciences Affectives, Université de Lille, Lille, France.,Plateforme Centre Universitaire de Recherche et d'Exploration and
| | - Claire Corfiotti
- Service de Psychiatrie de l'Enfant et de l'Adolescent, Centre de Compétence Maladies Rares à Expression Psychiatriques et Schizophrénie à Début Précoce, Hôpital Fontan and
| | - Sylvie Nguyen The Tich
- Service de Neuropédiatrie, Hôpital Salengro, Centre Hospitalier Régional Universitaire de Lille, Lille, France; and
| | - Vladimir Ferrafiat
- Centre Compétence Maladies Rares à Expression Psychiatrique et Schizophrénie à Début Précoce, Centre Hospitalier Universitaire de Rouen, Rouen, France
| | - Ali Amad
- Laboratoire Sciences Cognitives et Sciences Affectives, Université de Lille, Lille, France.,Plateforme Centre Universitaire de Recherche et d'Exploration and
| | - Renaud Jardri
- Laboratoire Sciences Cognitives et Sciences Affectives, Université de Lille, Lille, France.,Plateforme Centre Universitaire de Recherche et d'Exploration and.,Service de Psychiatrie de l'Enfant et de l'Adolescent, Centre de Compétence Maladies Rares à Expression Psychiatriques et Schizophrénie à Début Précoce, Hôpital Fontan and
| | - François Medjkane
- Service de Psychiatrie de l'Enfant et de l'Adolescent, Centre de Compétence Maladies Rares à Expression Psychiatriques et Schizophrénie à Début Précoce, Hôpital Fontan and
| |
Collapse
|
56
|
Rozet I, Rozet M, Borisovskaya A. Anesthesia for Electroconvulsive Therapy: an Update. CURRENT ANESTHESIOLOGY REPORTS 2018. [DOI: 10.1007/s40140-018-0283-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
|
57
|
McClellan J. Psychosis in Children and Adolescents. J Am Acad Child Adolesc Psychiatry 2018; 57:308-312. [PMID: 29706159 DOI: 10.1016/j.jaac.2018.01.021] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Revised: 01/26/2018] [Accepted: 03/07/2018] [Indexed: 12/12/2022]
Abstract
Psychosis is characterized by overt disruptions in thought, perceptions, and behavior. Complex syndromes presenting with psychosis, including schizophrenia spectrum disorders, mood disorders, and medical illnesses, are differentiated by characteristic patterns of symptom presentation and course of illness. Accurate diagnosis is important to guide treatment and to avoid inaccurate labeling, because most youth reporting psychotic-like experiences do not have a true psychotic disorder.
Collapse
Affiliation(s)
- Jon McClellan
- University of Washington Child Study and Treatment Center, Lakewood.
| |
Collapse
|
58
|
Cevher Binici N, Topal Z, Demir Samurcu N, Cansız MA, Savcı U, Öztürk Y, Özyurt G, Tufan AE. Response of Catatonia to Amisulpride and Lorazepam in an Adolescent with Schizophenia. J Child Adolesc Psychopharmacol 2018; 28:151-152. [PMID: 29406775 DOI: 10.1089/cap.2017.0153] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Nagihan Cevher Binici
- 1 Department of Child and Adolescent Psychiatry, Dr. Behçet Uz Child Disease and Pediatric Surgery Training and Research Hospital , İzmir, Turkey
| | - Zehra Topal
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Nuran Demir Samurcu
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Mehmet Akif Cansız
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Uğur Savcı
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Yusuf Öztürk
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| | - Gonca Özyurt
- 3 Department of Child and Adolescent Psychiatry, Izmir Katip Celebi University School of Medicine , İzmir, Turkey
| | - Ali Evren Tufan
- 2 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Abant Izzet Baysal University , Bolu, Turkey
| |
Collapse
|