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Catatonia in pediatric obsessive-compulsive disorder: report of two cases

Walter Jaimes-Albornoz1, EunJoo Lee2, Jordi Serra-Mestres3

  • 1Psychiatry Service, Basque Health Service-Osakidetza, Hospital Universitario Donostia, Dr. Beguiristain 117, 20014, San Sebastian, Gipuzkoa, Spain. walter.jaimesalbornoz@osakidetza.eus.

European Child & Adolescent Psychiatry
|June 6, 2021
PubMed

Insights

Catatonia, a rare psychomotor syndrome in children, can be linked to obsessive-compulsive disorder (OCD). Early diagnosis and optimized OCD treatment are crucial for managing this infrequent but serious condition.

Area of Science:

  • Psychiatry
  • Pediatrics
  • Neurology

Background:

  • Catatonia is a complex psychomotor syndrome with diverse underlying causes.
  • In pediatric populations, catatonia is rare and carries significant risks if misdiagnosed or untreated.

Observation:

  • This report details two pediatric cases of catatonia associated with obsessive-compulsive disorder (OCD).
  • These cases, combined with existing literature, highlight the infrequent and underdiagnosed nature of catatonia in OCD.
  • Clinical presentation can be challenging due to overlapping symptoms between catatonia and compulsive behaviors.

Findings:

  • The association between catatonia and OCD is infrequently reported, potentially due to clinician unawareness and symptom overlap.
  • A total of four pediatric cases of catatonia with OCD were reviewed.
  • Optimization of OCD treatment appeared beneficial in managing catatonia in these cases.

Implications:

  • Accurate diagnosis of catatonia in pediatric OCD is clinically significant.
  • Increased awareness among clinicians is needed to recognize catatonia as a potential manifestation of OCD.
  • Further research is warranted to understand this rare association and refine treatment strategies.

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