Catatonia in Adolescence Depression with Psychotic Features Outgoing Case

2016-08-15T15-01-43Z
Source: Çocuk ve Gençlik Ruh Sağlığı Dergisi / Turkish Journal of Child and Adolescent Mental Health
Atar B, Kardaş Ö, Özbaran NB, Köse S, Bildik T..
Catatonia was first described by Kahlbaum. Previously catatonia was associated with psychiatric conditions such as schizophrenia (catatonic type), later on it was recognized in mood disorder and other mental disorders. Catatonia can also occur due to general medication conditions (endocrine disorders, electrolyte imbalances, neurological disorders, renal and hepatic dysfunction, and infections). Catatonia is categorized in schizophrenia and related disorders in DSM-5. Etiology of catatonia is not well explained. İt is suggested that catatonic symptoms are based on insufficiency of GABA (primary inhibitory neurotransmitter) in basal ganglia area. In this case report we will discuss acute onset of catatonia secondary to depressive symptoms. After differential diagnosis of catatonic symptoms with general medication conditions and other psychiatric diseases that can cause catatonia, we emerged out treatment on this case. The catatonic symptoms diminished with benzodiazepine treatment and we find out that catatonia was seconder to depression, and we added fluoxetine treatment for his depression, aripiprazole was also added in follow up period. In catatonia can be seen in adolescent period and we should keep in mind further by differential diagnosis of adolescents.


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