Treatment of catatonic stupor with combination of modified electroconvulsive treatment and olanzapine: a case report.
This case report is about the combined use of modified electroconvulsive treatment and an atypical antipsychotic drug, olanzapine, in the treatment of a 20-year-old man with chronic and refractory catatonic stupor. This patient, with a preexisting diagnosis of autism, posturing, nonverbal communication, and contracture of lower extremities, displaying mutism, akinesia, and an extreme level of rigidity, waxy flexibility, and posturing, was diagnosed as with catatonic stupor. After hospitalization, the disease had progressed despite the treatment with an atypical antipsychotic drug, olanzapine. Modified electroconvulsive treatment together with olanzapine caused a dramatic clinical improvement. Follow-up outpatient treatment with olanzapine improved his social functions.
Tan
Qing Rong
QR
Psychosomatic Department, Xi'jing Hospital, Fourth Military Medical University, Xi'an, China. tanqingr@fmmu.edu.cn
Wang
Wen
W
Wang
Huai Hai
HH
Zhang
Rui Guo
RG
Guo
Li
L
Zhang
Ya Hong
YH
D000328:Adult; D001569:Benzodiazepines / Q000008:administration & dosage; D002389:Catatonia / Q000188:drug therapy* / Q000523:psychology; D004565:Electroconvulsive Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D000077152:Olanzapine
D001569:Benzodiazepines; D000077152:Olanzapine