Postpartum catatonia treated with electroconvulsive therapy: a case report

University of North Carolina Chapel Hill, NC 27599-7160, USA.
General hospital psychiatry (Impact Factor: 2.61). 01/2012; 34(4):436.e3-4. DOI: 10.1016/j.genhosppsych.2011.11.010
Source: PubMed


Catatonia is a rare syndrome that occurs in mood and psychotic disorders, and general medical conditions. Postpartum depression affects 10%-15% of women within 6 months after delivery. Postpartum psychosis affects 0.1%-0.5% of women within weeks after delivery, though it can occur within hours; it carries risk for suicide and infanticide. There is limited evidence available to guide treatment. We review a case of postpartum psychosis that presented with catatonia and was resistant to medications, but responded to electroconvulsive therapy.

Download full-text


Available from: Bradley Gaynes, Apr 17, 2014
1 Follower
37 Reads
  • Psychosomatics 04/2014; 55(6). DOI:10.1016/j.psym.2014.01.009 · 1.86 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Catatonia is a severe motor syndrome with an estimated prevalence among psychiatric inpatients of about 10%. At times, it is life-threatening especially in its malignant form when complicated by fever and autonomic disturbances. Catatonia can accompany many different psychiatric illnesses and somatic diseases. In order to recognize the catatonic syndrome, apart from thorough and repeated observation, a clinical examination is needed. A screening instrument, such as the Bush-Francis Catatonia Rating Scale, can guide the clinician through the neuropsychiatric examination. Although severe and life-threatening, catatonia has a good prognosis. Research on the treatment of catatonia is scarce, but there is overwhelming clinical evidence of the efficacy of benzodiazepines, such as lorazepam, and electroconvulsive therapy.
    Frontiers in Psychiatry 12/2014; 5(181). DOI:10.3389/fpsyt.2014.00181