Electroconvulsive therapy for catatonia in juvenile neuropsychiatric lupus

Leon T.; Aguirre A.; Pesce, C; Sanhueza P.; Toro, P

Abstract

Neuropsychiatric manifestations are serious and frequent complications of systemic lupus erythematous (SLE). Catatonia is a neuropsychiatric disorder characterized by motor disturbance (including waxy flexibility and catalepsy), stupor, excitement, negativism, mutism, echopraxia and echolalia. Catatonia associated with SLE has been only rarely reported, especially in children. Here we present a case of a 14-year-old patient encountered in consultation-liaison psychiatry who presented catatonia associated with SLE. Her catatonia was refractory to treatment with pulse methylprednisolone, intravenous cyclophosphamide and rituximab. The patient responded to a combined therapy of electroconvulsive therapy and benzodiazepines. The present case suggests that although rarely reported, catatonia seen in the background of SLE should be promptly identified and treated to reduce the morbidity.

Más información

Título según WOS: Electroconvulsive therapy for catatonia in juvenile neuropsychiatric lupus
Título según SCOPUS: Electroconvulsive therapy for catatonia in juvenile neuropsychiatric lupus
Título de la Revista: International Journal of Endocrinology
Volumen: 23
Número: 10
Editorial: International Journal of Endocrinology
Fecha de publicación: 2014
Página de inicio: 1066
Página final: 1068
Idioma: English
DOI:

10.1177/0961203314533603

Notas: ISI, SCOPUS