Department of Psychiatry, Massachusetts General Hospital, Boston, MA; Division of Child and Adolescent Psychiatry, Massachusetts General Hospital, Boston, MA.
Division of Child and Adolescent Psychiatry, Massachusetts General Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Psychosomatics. 2018 Nov;59(6):531-538. doi: 10.1016/j.psym.2018.05.012. Epub 2018 May 31.
Pediatric catatonia is believed to be a rare condition, but challenges in recognition and variability in presentation may lead to underdiagnosis. Early identification and effective treatment of pediatric catatonia is critical given the significant morbidity and mortality associated with the condition. Given the widespread shortage of child and adolescent psychiatrists, at times consultation-liaison (C-L) psychiatrists without child training may be the frontline specialty providers asked to guide treatment of these pediatric patients.
To review the literature on pediatric catatonia using clinical cases to illustrate unique aspects of its presentation, evaluation, and management.
We describe the presentation and management of 6 adolescents with catatonia on an inpatient pediatric service at a general hospital and use these cases as a focal point for a review of the literature.
Pediatric catatonia is a potentially lethal disease entity that can be effectively treated if accurately identified early in its course. Psychiatrists working in a C-L setting may encounter this syndrome and should be aware of its presentation, evaluation, and management.
儿科惊厥状态被认为是一种罕见的病症，但由于识别困难和表现形式多样，可能导致漏诊。鉴于该病症与较高的发病率和死亡率相关，早期识别和有效治疗儿科惊厥状态至关重要。鉴于儿童和青少年精神科医生的广泛短缺，有时没有儿童培训的联络-会诊（C-L）精神科医生可能是被要求指导这些儿科患者治疗的一线专科医生。
使用临床病例来阐明其表现、评估和管理的独特方面，回顾儿科惊厥状态的文献。
我们描述了在一家综合医院的儿科住院服务中 6 名惊厥状态青少年的表现和治疗，并以这些病例为重点，对文献进行回顾。
儿科惊厥状态是一种潜在致命的疾病实体，如果在其病程早期准确识别，可以有效治疗。在 C-L 环境中工作的精神科医生可能会遇到这种综合征，应了解其表现、评估和管理。
