title: A16-year-old girl with excited catatonia treated with low-dose oral Lorazepam.
abstract: A 16-year-old girl, who carried a diagnosis of schizoaffective disorder, presented with symptoms consistent with excited catatonia/delirious mania. We believe this is the first report of excited catatonia in a child under the age of 18. Her catatonic symptoms responded to low-dose oral lorazepam (higher doses led to worsening of her clinical status). This case highlights the importance of considering catatonia in the differential diagnosis of agitated delirium, even in pediatric populations, and it underscores the need for more data about the pathogenesis and treatment of catatonia.
authors.affiliation: Department of Child Psychiatry, Washington University School of Medicine, St. Louis, Missouri 63110, USA. pruettj@psychiatry.wustl.edu
authors.forename: John R
authors.initials: JR
authors.lastname: Pruett
authors.forename: Syed T
authors.initials: ST
authors.lastname: Rizvi
mesh_terms: D000293:Adolescent; D001714:Bipolar Disorder / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D002389:Catatonia / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D003693:Delirium / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D004305:Dose-Response Relationship, Drug; D005260:Female; D006801:Humans; D008140:Lorazepam / Q000627:therapeutic use*; D011618:Psychotic Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology
chemical_list: D008140:Lorazepam