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01.04.2009 | CASE REPORT

Moderate clinical improvement with maintenance ECT in a 17-year-old boy with intractable catatonic schizophrenia

verfasst von: Angèle Consoli, MD, Valérie Boulicot, MD, Françoise Cornic, MD, Philippe Fossati, MD, PhD, Martine Barbeau, PhD, David Cohen, MD, PhD

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 4/2009

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Abstract

The use of electro-convulsive therapy (ECT) in adolescents is controversial, and few studies have been conducted to assess its efficacy and safety in this population. We report the case of a 19-year-old boy who received two series of ECT, one at 15 and another at 16, for intractable catatonic schizophrenia. Since the age of 17, he has required treatment combining clozapine and maintenance ECT. The course showed a sustained moderate improvement. The treatment permitted the patient to regain some autonomy with moderate adverse effects. ECT remains an uncommon treatment in adolescents, and the current case supports the view that it should not be banned in young people.

Pack therapy: envelopment in damp sheets for 1 h sessions with the patient expressing body and corporal feelings and spontaneous fantasies. An example is given in case 2 of Cohen’s report [11].

ANAES (1998) Indications et modalités de l’electrconvulsivothérapie. http://www.anaes.fr

Andrade C, Kurinji S (2002) Continuation and maintenance ECT: a review of recent research. J ECT 18:149–158PubMedCrossRef

APA (2001) The practice of electroconvulsive therapy: recommendations for treatment, training, and privileging. American Psychiatric Association, www.psych.org

Bailine SH, Petraviciute S (2007) Catatonia in autistic twin: role of electroconvulsive therapy. J ECT 23:21–22PubMedCrossRef

Baker T (1995) ECT and young minds. Lancet 345:65PubMedCrossRef

Baker T (1995) The minor issue of electroconvulsive therapy. Nat Med 1:199–200PubMedCrossRef

Bloch Y, Levcovitch Y, Bloch AM, Mendlovic S, Ratzoni G (2001) Electroconvulsive therapy in adolescents: similarities to and differences from adults. J Am Acad Child Adolesc Psychiatry 40:1332–1336PubMedCrossRef

Braga RJ, Petrides G (2005) The combined use of electroconvulsive therapy and antipsychotics in patients with schizophrenia. J ECT 21:75–83PubMedCrossRef

Bush G, Fink M, Petrides G, Dowling F, Francis A (1996) Catatonia. I. Rating scale and standardized examination. Acta Psychiatr Scand 93:129–136PubMedCrossRef

10.

Chanpatanna W (2000) Maintenance ECT in treatment-resistant schizophrenia. J Med Assoc Thai 83:657–662

11.

Cohen D (2006) Towards a valid nosography and psychopathology of catatonia in children and adolescents. Int Rev Neurobiol 72:131–147PubMedCrossRef

12.

Cohen D, Flament M, Dubos PF, Basquin M (1999) Case series: catatonic syndrome in young people. J Am Acad Child Adolesc Psychiatry 38:1040–1046PubMedCrossRef

13.

Cohen D, Nicolas JD, Flament MF, Perisse D, Dubos PF, Bonnot O, Speranza M, Graindorge C, Tordjman S, Mazet P (2005) Clinical relevance of chronic catatonic schizophrenia in children and adolescents: evidence from a prospective naturalistic study. Schizophr Res 76:301–308PubMedCrossRef

14.

Cohen D, Paillere-Martinot ML, Basquin M (1997) Use of electroconvulsive therapy in adolescents. Convuls Ther 13:25–31PubMed

15.

Cohen D, Taieb O, Flament M, Benoit N, Chevret S, Corcos M, Fossati P, Jeammet P, Allilaire JF, Basquin M (2000) Absence of cognitive impairment at long-term follow-up in adolescents treated with ECT for severe mood disorder. Am J Psychiatry 157:460–462PubMedCrossRef

16.

Consoli A, Deniau E, Huynh C, Purper D, Cohen D (2007) Treatments in child and adolescent bipolar disorders. Eur Child Adolesc Psychiatry 16:187–198PubMedCrossRef

17.

Cornic F, Consoli A, Cohen D (2007) Catatonia in children and adolescents. Psychiatr Ann 37:19–26

18.

Duffett R, Hill P, Lelliott P (1999) Use of electroconvulsive therapy in young people. Br J Psychiatry 175:228–230PubMedCrossRef

19.

Fink M, Coffey CE (1998) Electroconvulsive therapy. In: Coffey CE, Brumback R (eds) Texbook of pediatric neuropsychiatry. American Psychiatric Press, Washington, DC

20.

Fink M, Taylor MA (2003) Catatonia: a clinican’s guide to diagnosis and treatment. Cambridge University Press, Cambridge

21.

Ghaziuddin N, King CA, Naylor MW, Ghaziuddin M, Chaudhary N, Giordani B, Dequardo JR, Tandon R, Greden J (1996) Electroconvulsive treatment in adolescents with pharmacotherapy-refractory depression. J Child Adolesc Psychopharmacol 6:259–271PubMedCrossRef

22.

Ghaziuddin N, Kutcher SP, Knapp P, Bernet W, Arnold V, Beitchman J, Benson RS, Bukstein O, Kinlan J, McClellan J, Rue D, Shaw JA, Stock S, Kroeger Ptakowski K (2004) Practice parameter for use of electroconvulsive therapy with adolescents. J Am Acad Child Adolesc Psychiatry 43:1521–1539PubMedCrossRef

23.

Ghaziuddin N, Laughrin D, Giordani B (2000) Cognitive side effects of electroconvulsive therapy in adolescents. J Child Adolesc Psychopharmacol 10: 269–276PubMedCrossRef

24.

Kazooga-Mwesibe A, Watchel L, Dhossche D (2008) Catatonia in autism: implication across lifetime. Eur Child Adolesc Psychiatry 17(6):327–335CrossRef

25.

Kutcher SP, Robertson HA (1995) Electroconvulsive therapy in treatment-resistant bipolar youth. J Child Adolesc Psychopharmacol 5:167–175CrossRef

26.

Lehman AF, Lieberman JA, Dixon LB, McGlashan TH, Miller AL, Perkins DO, Kreyenbuhl J (2004) Practice guideline for the treatment of patients with schizophrenia, second edition. Am J Psychiatry 161:1–56PubMedCrossRef

27.

Moise FN, Petrides G (1996) Case study: electroconvulsive therapy in adolescents. J Am Acad Child Adolesc Psychiatry 35:312–318PubMedCrossRef

28.

Rey JM, Walter G (1997) Half a century of ECT use in young people. Am J Psychiatry 154:595–602PubMed

29.

Schneekloth MD, Rummans T, Logan KM (1993) Electroconvulsive therapy in adolescents. Convuls Ther 9:158–166PubMed

30.

Squire LR, Wetzel CD, Slater PC (1979) Memory complaint after electroconvulsive therapy: assessment with a new self-rating instrument. Biol Psychiatry 14:791–801PubMed

31.

Strober M, Rao U, DeAntonio M, Liston E, State M, Amaya-Jackson L, Latz S (1998) Effects of electroconvulsive therapy in adolescents with severe endogenous depression resistant to pharmacotherapy. Biol Psychiatry 43:335–338PubMedCrossRef

32.

Taieb O, Flament MF, Chevret S, Jeammet P, Allilaire JF, Mazet P, Cohen D (2002) Clinical relevance of electroconvulsive therapy (ECT) in adolescents with severe mood disorder: evidence from a follow-up study. Eur Psychiatry 17:206–212PubMedCrossRef

33.

Taieb O, Flament MF, Corcos M, Jeammet P, Basquin M, Mazet P, Cohen D (2001) Electroconvulsive therapy in adolescents with mood disorder: patients’ and parents’ attitudes. Psychiatry Res 104:183–190PubMedCrossRef

34.

Taylor MA, Fink M (2003) Catatonia in psychiatric classification: a home of its own. Am J Psychiatry 160:1233–1241PubMedCrossRef

35.

Ungvari GS, Chiu HF, Chow LY, Lau BS, Tang WK (1999) Lorazepam for chronic catatonia: a randomized, double-blind, placebo-controlled cross-over study. Psychopharmacology (Berl) 142:393–398CrossRef

36.

Ungvari GS, Leung CM, Wong MK, Lau J (1994) Benzodiazepines in the treatment of catatonic syndrome. Acta Psychiatr Scand 89:285–288PubMedCrossRef

37.

Wachtel L, Kahng SW, Dhossche D, Cascella N, Reti IM (2008) ECT for catatonia in an autistic girl. Am J Psychiatry 165:329–333PubMedCrossRef

38.

Walter G, Rey JM (1997) An epidemiological study of the use of ECT in adolescents. J Am Acad Child Adolesc Psychiatry 36:809–815PubMedCrossRef

39.

Walter G, Rey JM, Mitchell PB (1999) Practitioner review: electroconvulsive therapy in adolescents. J Child Psychol Psychiatry 40:325–334PubMedCrossRef

Titel: Moderate clinical improvement with maintenance ECT in a 17-year-old boy with intractable catatonic schizophrenia
verfasst von: Angèle Consoli, MD
Valérie Boulicot, MD
Françoise Cornic, MD
Philippe Fossati, MD, PhD
Martine Barbeau, PhD
David Cohen, MD, PhD
Publikationsdatum: 01.04.2009
Verlag: Steinkopff-Verlag
Erschienen in: European Child & Adolescent Psychiatry / Ausgabe 4/2009
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-008-0724-6

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