Electroconvulsive Therapy for Catatonia in a Boy With Hydrocephalus and an Arachnoid Cyst

Research output: Contribution to journalArticle

Abstract

We report on the successful use of electroconvulsive therapy in a 13-year-old boy with congenital hydrocephalus, a history of multiple shunt revisions, and a stable prepontine arachnoid cyst, who experienced profound catatonic deterioration. After initial shunt placement at age 20 months, the patient had followed normal motor, cognitive, and social developmental trajectories. Two uncomplicated shunt revisions were performed at ages 10 and 13 years. Three months after the last revision, the patient demonstrated multiple psychomotor signs, culminating in hospital admission for rigidity, posturing, waxy flexibility, stupor, mutism, and cessation of all oral intake. An extensive neurologic workup related to his preexisting conditions produced negative results, and a course of electroconvulsive therapy for acute catatonia was pursued, with outstanding improvement.

Original languageEnglish (US)
Pages (from-to)73-75
Number of pages3
JournalPediatric Neurology
Volume43
Issue number1
DOIs
StatePublished - Jul 2010

Fingerprint

Catatonia
Arachnoid Cysts
Electroconvulsive Therapy
Hydrocephalus
Mutism
Catalepsy
Stupor
Preexisting Condition Coverage
Nervous System

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Developmental Neuroscience
  • Neurology

Cite this

@article{978e971c74e641ebba3ae52ba252cd28,
title = "Electroconvulsive Therapy for Catatonia in a Boy With Hydrocephalus and an Arachnoid Cyst",
abstract = "We report on the successful use of electroconvulsive therapy in a 13-year-old boy with congenital hydrocephalus, a history of multiple shunt revisions, and a stable prepontine arachnoid cyst, who experienced profound catatonic deterioration. After initial shunt placement at age 20 months, the patient had followed normal motor, cognitive, and social developmental trajectories. Two uncomplicated shunt revisions were performed at ages 10 and 13 years. Three months after the last revision, the patient demonstrated multiple psychomotor signs, culminating in hospital admission for rigidity, posturing, waxy flexibility, stupor, mutism, and cessation of all oral intake. An extensive neurologic workup related to his preexisting conditions produced negative results, and a course of electroconvulsive therapy for acute catatonia was pursued, with outstanding improvement.",
author = "Wachtel, {Lee Elizabeth} and Kristin Baranano and Reti, {Irving M}",
year = "2010",
month = "7",
doi = "10.1016/j.pediatrneurol.2010.03.011",
language = "English (US)",
volume = "43",
pages = "73--75",
journal = "Pediatric Neurology",
issn = "0887-8994",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Electroconvulsive Therapy for Catatonia in a Boy With Hydrocephalus and an Arachnoid Cyst

AU - Wachtel, Lee Elizabeth

AU - Baranano, Kristin

AU - Reti, Irving M

PY - 2010/7

Y1 - 2010/7

N2 - We report on the successful use of electroconvulsive therapy in a 13-year-old boy with congenital hydrocephalus, a history of multiple shunt revisions, and a stable prepontine arachnoid cyst, who experienced profound catatonic deterioration. After initial shunt placement at age 20 months, the patient had followed normal motor, cognitive, and social developmental trajectories. Two uncomplicated shunt revisions were performed at ages 10 and 13 years. Three months after the last revision, the patient demonstrated multiple psychomotor signs, culminating in hospital admission for rigidity, posturing, waxy flexibility, stupor, mutism, and cessation of all oral intake. An extensive neurologic workup related to his preexisting conditions produced negative results, and a course of electroconvulsive therapy for acute catatonia was pursued, with outstanding improvement.

AB - We report on the successful use of electroconvulsive therapy in a 13-year-old boy with congenital hydrocephalus, a history of multiple shunt revisions, and a stable prepontine arachnoid cyst, who experienced profound catatonic deterioration. After initial shunt placement at age 20 months, the patient had followed normal motor, cognitive, and social developmental trajectories. Two uncomplicated shunt revisions were performed at ages 10 and 13 years. Three months after the last revision, the patient demonstrated multiple psychomotor signs, culminating in hospital admission for rigidity, posturing, waxy flexibility, stupor, mutism, and cessation of all oral intake. An extensive neurologic workup related to his preexisting conditions produced negative results, and a course of electroconvulsive therapy for acute catatonia was pursued, with outstanding improvement.

UR - http://www.scopus.com/inward/record.url?scp=77952975423&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952975423&partnerID=8YFLogxK

U2 - 10.1016/j.pediatrneurol.2010.03.011

DO - 10.1016/j.pediatrneurol.2010.03.011

M3 - Article

C2 - 20682210

AN - SCOPUS:77952975423

VL - 43

SP - 73

EP - 75

JO - Pediatric Neurology

JF - Pediatric Neurology

SN - 0887-8994

IS - 1

ER -