Electroconvulsive Therapy as a Safe, Effective Treatment for Catatonia in an Adolescent with a Nasogastric Tube: A Case Report.

Child Adolesc Psychiatr Clin N Am

Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, 1601 23rd Avenue South, Nashville, TN 37212, USA.

Published: January 2019

AI Article Synopsis

  • The case describes a successful use of electroconvulsive therapy (ECT) in an adolescent with severe catatonia who required a feeding tube for nutrition.
  • The patient had significant challenges, including a lack of local ECT providers willing to treat someone with a nasogastric tube, but was ultimately treated at this hospital.
  • After undergoing 9 sessions of ECT, the patient showed improvement in her condition without any complications, demonstrating that ECT can be safe and effective in similar cases.

Article Abstract

This case provides support for electroconvulsive therapy as a safe treatment in adolescents with a feeding tube. The patient presented to our hospital with symptoms of catatonia with minimal oral intake. She had stopped eating, had minimal interaction with her environment, and spent weeks with a nasogastric tube for nutritional support. She had been referred for electroconvulsive therapy but was unable to find a local provider who would perform it on an adolescent with a nasogastric tube. She came to our hospital and received 9 rounds of electroconvulsive therapy with improvement of her catatonia and no aspiration or adverse events.

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Source
http://dx.doi.org/10.1016/j.chc.2018.08.002DOI Listing

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