Electroconvulsive therapy for catatonia in a boy with hydrocephalus and an arachnoid cyst.

TitleElectroconvulsive therapy for catatonia in a boy with hydrocephalus and an arachnoid cyst.
Publication TypeJournal Article
Year of Publication2010
AuthorsWachtel LE, Baranano K, Reti IM
JournalPediatric neurology
Volume43
Issue1
Pagination73-5
Date Published2010 Jul
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.

DOI10.1097/BRS.0b013e3181e03881
Alternate JournalPediatr. Neurol.