Catatonia associated with hyponatremia treated with electroconvulsive therapy.
Catatonia has been reported to occur in various brain pathologies and systemic conditions. We present a case of catatonia associated with hyponatremia treated with a course of electroconvulsive therapy. A 48-year-old woman presented with catatonia and, upon investigation, was found to have persistent/recurrent hyponatremia. Upon investigation also, she was found to have adrenal insufficiency. Her symptoms of catatonia did not respond to correction of hyponatremia, a course of lorazepam, after which she was treated with ECT, with which her catatonia improved.
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drsandeepg2002@yahoo.com
Sandeep
S
Grover
Vijay
V
Kattharaghatta Girigowda
Munish
M
Aggarwal
Nidhi
N
Malhotra
D000309:Adrenal Insufficiency / Q000150:complications; D000927:Anticonvulsants / Q000627:therapeutic use; D002389:Catatonia / Q000209:etiology* / Q000628:therapy*; D003681:Dehydration / Q000209:etiology; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000150:complications*; D008140:Lorazepam / Q000627:therapeutic use; D008875:Middle Aged; D012008:Recurrence
D000927:Anticonvulsants; D008140:Lorazepam