Catatonia Development in a Patient with Bipolar Disorder Following Electroconvulsive Therapy: A Case Report
,
Abstract
Objective: Electroconvulsive therapy (ECT) is a major treatment of catatonia; and catatonia development during electroconvulsive therapy is a highly surprising phenomenon. We present a patient with bipolar disorder who developed catatonia during ECT.
Case Reports: A 21-year-old woman, with a known case of bipolar disorder in manic phase without psychotic feature, history of long acting antipsychotic use, and severe B12 deficiency, was treated with ECT. Full catatonia syndrome developed after the fifth session of ECT.
Conclusion: In rare cases, catatonia can develop during ECT course in the presence of some precipitating factors. Thus, these precipitating factors should be eliminated as much as possible before the start of ECT course to prevent catatonia development.
Tandon R, Heckers S, Bustillo J, Barch DM, Gaebel W, Gur RE. Catatonia in DSM-5. Schizophr Res. 2013;150(1):26-30.
Bram D, Bubrovszky M, Durand JP, Lefevre G, Morell-Dubois S, Vaiva G.Pernicious anemia presenting as catatonia: correlating vitamin B12 levels and catatonic symptoms. Gen Hosp Psychiatry 2015;37(3):273.
Hare DJ, Malone C. Catatonia and autistic spectrum disorders. Autism. 2004 8(2):183-95.
Geoffroy PA, Rolland B, Cottencin O. Catatonia and alcohol withdrawal: a complex and underestimated syndrome. Alcohol 2012; 47(3):288.
Parameswaran R, Moore K, Hannan T, Austin M. Catatonia associated with temazepam withdrawal. Aust N Z J Psychiatry 2011; 45(11):1006.
Sivakumar T, Yadav A, Sood M, Khandelwal SK. Lorazepam withdrawal catatonia: a case report. Asian J Psychiatr 2013; 6(6):620.
Sienaert P, Dhossche DM, Vancampfort D, Hert M, Gazdag G. A Clinical Review of the Treatment of Catatonia Front Psychiatry 2014; 5: 181.
Malur C, Fransis A. Emergence of catatonia during ECT. The journal of ECT 2001;17(3): 201-4.
Pandey RS, Sharma P. ECT-induced catatonia: a case report. Indian J Psychiatry1988; 30:105–107.
Shams J, Rahmani B, Asefi F, Daneshfar Sh. Catatonia Development in a Schizoaffective Patient following Electroconvulsive Therapy. Iranian J of Psychiatry and Behavioral Sciences 2010;4(2): 58-60 .
Praharaj SK, Sarkhel S, Prasad S, Sinha VK. Can electroconvulsive therapy induce catatonia? J Neuropsychiatry Clin Neurosci. 2013; 25(2):170.
Escobar R, Rios A, Montoya ID, et al. Clinical and cerebral blood flow changes in catatonic patients treated with ECT. J Psychosom Res 2000;49: 423–429.
Berry N, Sagar R, Tripathi BM. Catatonia and other psychiatric symptoms with vitamin B12 deficiency. Acta Psychiatr Scand. 2003;108(2):156-9.
Bram D, Bubrovszky M, Durand JP, Lefevre G, Morell-Dubois S, Vaiva G. Pernicious anemia presenting as catatonia: correlating vitamin B12 levels and catatonic symptoms. Gen Hosp Psychiatry 2015;37(3):273.
Maixner D, Sagher O, Bess J, Edwards J. Catatonia following surgery for temporal lobe epilepsy successfully treated with electroconvulsive therapy. Epiliepsy and behavior 2010 ;19(3): 528–532.
| Files | ||
| Issue | Vol 14 No 1 (2019) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/ijps.v14i1.429 | |
| Keywords | ||
| Bipolar Disorder Catatonia Electroconvulsive Therapy Vitamin B12 Deficiency | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
