Chung Alfred, Varghese John
Child and Family Therapy Unit, Royal Children's Hospital and Health Service District, Royal Children's Hospital Brisbane, Herston, Qld, Australia.
Aust N Z J Psychiatry. 2008 Mar;42(3):251-3. doi: 10.1080/00048670701827317.
To report the case of an 11-year-old girl who presented with acute onset of psychotic symptoms with catatonic features treated with electroconvulsive therapy (ECT).
Described herein is the case of an 11-year-old, prepubertal girl who represented with catatonic symptoms unresponsive to conventional medical treatment. After thorough clinical investigation and obtaining a second opinion we gained consent from her parents to perform ECT as a life saving procedure.
Six ECT treatments were administered with clinical improvement, the patient did develop hypomanic symptoms as a side-affect of ECT.
The patient exhibited potentially life-threatening self-harming behaviour secondary to catatonic and psychotic symptoms. Her behaviour and symptoms responded to ECT. The patient developed hypomania that responded to mood stabilization. ECT was a safe and effective treatment for catatonia in this prepubescent girl.
报告一例11岁女孩的病例，该女孩出现伴有紧张症特征的急性精神病性症状，并接受了电休克治疗（ECT）。
本文描述的是一名11岁青春期前女孩的病例，她表现出对传统药物治疗无反应的紧张症症状。经过全面的临床检查并征求了第二种意见后，我们征得她父母的同意，将ECT作为一种挽救生命的程序来实施。
进行了6次ECT治疗后临床症状有所改善，患者确实出现了轻躁狂症状作为ECT的副作用。
该患者因紧张症和精神病性症状出现了潜在危及生命的自伤行为。她的行为和症状对ECT有反应。患者出现的轻躁狂对情绪稳定治疗有反应。ECT对这名青春期前女孩的紧张症是一种安全有效的治疗方法。
