title: Progressive paranoid psychosis in a 20-year-old with central congenital hypoventilation syndrome.
abstract: A 20-year-old man with a history of congenital central hypoventilation syndrome presented with recent-onset psychosis, catatonia, and a diagnosis of schizophrenia. Psychiatric symptoms were resistant to conventional treatment. A fluorodeoxyglucose positron emission tomography scan of the brain obtained during the hospitalization revealed a hypometabolism distribution more consistent with hypoperfusion than with primary central nervous system disease. Increased mechanical ventilation was successfully used to treat the psychiatric symptoms.
authors.affiliation: Division of Integrative Neuroscience, ad722@columbia.edu.
authors.forename: Alex
authors.initials: A
authors.lastname: Dranovsky
authors.affiliation: Division of Pediatric Pulmonology, Department of Pediatrics, Maimonides Medical Center, Brooklyn, New York.
authors.forename: Joshua P
authors.initials: JP
authors.lastname: Needleman
authors.affiliation: Consultation Liaison, Department of Psychiatry, and.
authors.forename: Jessica
authors.initials: J
authors.lastname: Sylvester
authors.affiliation: Department of Radiology, Columbia University Presbyterian Medical Center, New York, New York; and.
authors.forename: Ronald
authors.initials: R
authors.lastname: VanHeertum
authors.affiliation: Consultation Liaison, Department of Psychiatry, and.
authors.forename: Philip R
authors.initials: PR
authors.lastname: Muskin
mesh_terms: D018450:Disease Progression; D006801:Humans; D007040:Hypoventilation / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging / Q000523:psychology; D008297:Male; D010259:Paranoid Disorders / Q000150:complications* / Q000000981:diagnostic imaging* / Q000523:psychology; D011877:Radionuclide Imaging; D020182:Sleep Apnea, Central / Q000150:complications* / Q000000981:diagnostic imaging* / Q000523:psychology; D055815:Young Adult
keywords: PET scan; catatonia; congenital central hypoventilation syndrome; psychosis; schizophrenia
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