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Recognizing and Treating Catatonia in Kleefstra Syndrome.
Miriam Vail1, Jonathan Newgren2, Isabelle Bindseil3
1Department of Child and Adolescent Psychiatry, University of Colorado; miriam.vail@cuanschutz.edu.
Journal of Visualized Experiments : Jove
|October 20, 2025
Summary
Kleefstra syndrome, a rare genetic disorder, can cause Catatonia. This case study shows successful treatment of Catatonia in a Kleefstra syndrome patient using Lorazepam, offering a new therapeutic option.
Area of Science:
- Genetics
- Neuroscience
- Psychiatry
Background:
- Kleefstra syndrome is a rare genetic disorder caused by mutations in the euchromatic histone lysine methyltransferase 1 gene.
- This syndrome is associated with various physiological impacts, including psychiatric and behavioral comorbidities like Catatonia.
- Catatonia, a neuropsychiatric syndrome characterized by psychomotor disturbances, is a known comorbidity of Kleefstra syndrome, though literature on its treatment is scarce.
Purpose of the Study:
- To report a case of Catatonia in a patient with Kleefstra syndrome.
- To describe the successful treatment of Catatonia associated with Kleefstra syndrome.
- To highlight the importance of recognizing and treating Catatonia in patients with complex genetic disorders.
Main Methods:
- A case report of a 17-year-old male with Kleefstra syndrome and Catatonia.
- Treatment administered: scheduled Lorazepam.
- Clinical observation and assessment of treatment efficacy.
Main Results:
- The patient with Kleefstra syndrome and Catatonia showed successful symptom resolution with scheduled Lorazepam.
- This represents the first reported successful treatment of Catatonia in the context of Kleefstra syndrome.
Conclusions:
- Lorazepam can be an effective treatment for Catatonia in patients with Kleefstra syndrome.
- Early diagnosis and appropriate treatment of Catatonia are crucial for patients with complex genetic syndromes.
- Further research is needed to establish standardized treatment protocols for Catatonia in Kleefstra syndrome.
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