Tags

Type your tag names separated by a space and hit enter

Multidisciplinary approach of organic catatonia in children and adolescents may improve treatment decision making.
Prog Neuropsychopharmacol Biol Psychiatry. 2008 Aug 01; 32(6):1393-8.PN

Abstract

Catatonia is an infrequent but severe condition in young people. Organic diseases may be associated and need to be investigated though no specific recommendations and guidelines are available. We extensively reviewed the literature of all the cases of organic catatonia in children and adolescents from January 1969 to June 2007. We screened socio-demographic characteristics, organic diagnosis, clinical characteristics and treatment. We found 38 cases of children and adolescents with catatonia due to an organic condition. The catatonic syndrome occurred in 21 (57%) females and 16 (43%) males. The mean age of patients was 14.5 years (+/-3.39) [range=7-18 years], and three died from their condition. The organic conditions included infectious diseases (N=10), neurological conditions (N=10), toxic induced states (N=12) and genetic conditions including inborn errors of metabolism (N=6). The onset was dominantly acute, and the clinical presentation most frequently stuporous. Although benzodiazepines were recommended as primary symptomatic treatment, they were rarely prescribed. In several cases, therapeutic approach was related to organic cause (e.g., plasma exchange in lupus erythematosus; copper chelators in Wilson's disease). Based on this review and on our own experience of catatonia in youth, we proposed a consensual and multidisciplinary diagnostic strategy to help practitioners to identify underlying organic diseases.

Authors+Show Affiliations

Département de Psychiatrie de l'Enfant et de l'Adolescent, GH Pitié-Salpétrière, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Review

Language

eng

PubMed ID

18417262

Citation

Lahutte, Bertrand, et al. "Multidisciplinary Approach of Organic Catatonia in Children and Adolescents May Improve Treatment Decision Making." Progress in Neuro-psychopharmacology & Biological Psychiatry, vol. 32, no. 6, 2008, pp. 1393-8.
Lahutte B, Cornic F, Bonnot O, et al. Multidisciplinary approach of organic catatonia in children and adolescents may improve treatment decision making. Prog Neuropsychopharmacol Biol Psychiatry. 2008;32(6):1393-8.
Lahutte, B., Cornic, F., Bonnot, O., Consoli, A., An-Gourfinkel, I., Amoura, Z., Sedel, F., & Cohen, D. (2008). Multidisciplinary approach of organic catatonia in children and adolescents may improve treatment decision making. Progress in Neuro-psychopharmacology & Biological Psychiatry, 32(6), 1393-8. https://doi.org/10.1016/j.pnpbp.2008.02.015
Lahutte B, et al. Multidisciplinary Approach of Organic Catatonia in Children and Adolescents May Improve Treatment Decision Making. Prog Neuropsychopharmacol Biol Psychiatry. 2008 Aug 1;32(6):1393-8. PubMed PMID: 18417262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multidisciplinary approach of organic catatonia in children and adolescents may improve treatment decision making. AU - Lahutte,Bertrand, AU - Cornic,Françoise, AU - Bonnot,Olivier, AU - Consoli,Angèle, AU - An-Gourfinkel,Isabelle, AU - Amoura,Zahir, AU - Sedel,Frédéric, AU - Cohen,David, Y1 - 2008/03/07/ PY - 2008/01/05/received PY - 2008/02/27/revised PY - 2008/02/27/accepted PY - 2008/4/18/pubmed PY - 2008/10/23/medline PY - 2008/4/18/entrez SP - 1393 EP - 8 JF - Progress in neuro-psychopharmacology & biological psychiatry JO - Prog Neuropsychopharmacol Biol Psychiatry VL - 32 IS - 6 N2 - Catatonia is an infrequent but severe condition in young people. Organic diseases may be associated and need to be investigated though no specific recommendations and guidelines are available. We extensively reviewed the literature of all the cases of organic catatonia in children and adolescents from January 1969 to June 2007. We screened socio-demographic characteristics, organic diagnosis, clinical characteristics and treatment. We found 38 cases of children and adolescents with catatonia due to an organic condition. The catatonic syndrome occurred in 21 (57%) females and 16 (43%) males. The mean age of patients was 14.5 years (+/-3.39) [range=7-18 years], and three died from their condition. The organic conditions included infectious diseases (N=10), neurological conditions (N=10), toxic induced states (N=12) and genetic conditions including inborn errors of metabolism (N=6). The onset was dominantly acute, and the clinical presentation most frequently stuporous. Although benzodiazepines were recommended as primary symptomatic treatment, they were rarely prescribed. In several cases, therapeutic approach was related to organic cause (e.g., plasma exchange in lupus erythematosus; copper chelators in Wilson's disease). Based on this review and on our own experience of catatonia in youth, we proposed a consensual and multidisciplinary diagnostic strategy to help practitioners to identify underlying organic diseases. SN - 0278-5846 UR - https://www.unboundmedicine.com/medline/citation/18417262/Multidisciplinary_approach_of_organic_catatonia_in_children_and_adolescents_may_improve_treatment_decision_making_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0278-5846(08)00078-X DB - PRIME DP - Unbound Medicine ER -