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Case Report: Catatonia Associated With Post-traumatic Stress Disorder
Gellan K Ahmed1,2, Khaled Elbeh1, Ahmed A Karim3,4,5
1Department of Neurology and Psychiatry, Assiut University, Assiut, Egypt.
Frontiers in Psychiatry
|December 24, 2021
Summary
A 12-year-old girl developed catatonia after trauma. Successful treatment involved medication and electroconvulsive therapy (ECT), highlighting the need to assess trauma in pediatric catatonia.
Area of Science:
- Psychiatry
- Neurology
- Pediatrics
Background:
- Post-traumatic stress disorder (PTSD) can manifest with complex psychiatric symptoms in children.
- Catatonia is a severe psychomotor syndrome that can be associated with various underlying conditions, including trauma.
Observation:
- A 12-year-old female presented with catatonia, including immobility, incontinence, and abnormal posturing, following two life-threatening accidents.
- The patient experienced significant physical complications such as dehydration, malunion of a fracture, and limb deformities.
Findings:
- A comprehensive psychiatric and neurological evaluation was conducted.
- Treatment included benzodiazepines, intravenous fluids, antidepressants, and six sessions of electroconvulsive therapy (ECT).
- The patient showed a successful response to the multimodal treatment approach.
Implications:
- The case underscores the potential link between trauma and catatonia in pediatric populations.
- Early identification and evaluation of trauma are crucial in the psychiatric assessment of children with catatonic symptoms.
- Further research into the pathophysiology of trauma-associated catatonia is warranted.
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