Electroconvulsive therapy in the treatment of catatonia in a patient with Budd Chiari syndrome: a case report.

IF 0.6 4区医学 Q4 CLINICAL NEUROLOGY Neurocase Pub Date : 2025-01-16 DOI:10.1080/13554794.2024.2446316

Muhammad Abbas, Jack Noto, David Adams, Renzmark Vallesteros, Syed Muhammad Awais Bukhari

引用次数: 0

Abstract

Catatonia may manifest as an independent entity or as a feature of a neuropsychiatric or medical illness. While electroconvulsive therapy (ECT) is the gold standard treatment for catatonia, it is typically administered if the patient's symptoms fail to respond to benzodiazepines. We describe the case of a 22-year-old male with Budd Chiari induced cirrhosis and no prior psychiatric history, who presented with symptoms of psychosis and hepatic encephalopathy, was treated in the ICU for multi-factorial delirium, developed symptoms of catatonia that failed to respond to lorazepam, ultimately requiring ECT with a favorable response. This report hopes to add to the literature by discussing potential etiologies of catatonia and by providing an illustrative example of the treatment of catatonia and its considerations in patients with hepatic impairment.

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电痉挛疗法治疗Budd - Chiari综合征紧张症1例报告。

紧张症可以表现为一个独立的个体，也可以表现为神经精神疾病或医学疾病的特征。虽然电痉挛疗法（ECT）是治疗紧张症的金标准疗法，但如果患者的症状对苯二氮卓类药物没有反应，通常会使用电痉挛疗法。我们描述了一名22岁的男性，患有Budd Chiari诱导的肝硬化，没有精神病史，表现出精神病和肝性脑病的症状，在ICU接受多因素谵妄治疗，出现紧张症症状，劳拉西泮无效，最终需要ECT治疗，疗效良好。本报告希望通过讨论紧张症的潜在病因，并提供一个治疗紧张症的实例，以及对肝功能损害患者的注意事项，来补充文献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurocase 医学-精神病学

CiteScore

1.40

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.