Catatonia in systemic lupus erythematosus: case based review

An Adolescent Girl With Systematic Lupus Erythematosus Presenting With Treatment Suprarefractory Catatonia

“…Independently, the anomic aphasia spontaneously disappeared within a week. 3 The case we report differs from previously published ones by the fact that we continued ECT until the end of all sessions; neither aphasia nor occurrence neurological sign recurred. One possible reason is the stimulation charge lowering, but most likely it was the change in electrode placement.…”

“…While systematically reviewing literature, we retrieved 4 similar cases. [1][2][3][4] In 2012, Felkel and colleagues 1 reported the case of a 76-year-old man with a recurrent and severe major depressive disorder. After a right unilateral ECT session, he presented both receptive and expressive aphasia, which were reported as a Todd paralysis after excluding a prolonged seizure on an electroencephalogram.…”

“…On the first session, she presented an impeded speech, which lasted for 30 minutes with no long-term language or neurological impairment. 2 Yang et al, 3 in 2022, discussed the case of a 53-year-old man diagnosed with bipolar disorder during a manic episode. After the ninth session of bilateral stimulation, he developed reversible delirium and anomic aphasia as he was benefiting from a combined treatment with ECT and lithium.…”

“…2 In SLE, management of catatonia often emphasizes on treating the underlying condition by appropriate immunomodulation and use of benzodiazepines or ECT. 2,3 In this case study, we discuss the moderating role of steroid on catatonic symptoms in an adolescent with SLE.…”

Evidence-based consensus guidelines for the management of catatonia: Recommendations from the British Association for Psychopharmacology

“…There are two distinct aspects to treating catatonia: specific treatments for catatonia per se and treatments for the disorder(s) underlying catatonia, where identified. While employing either one of these approaches may be effective in some cases, there are many cases where using either one of these strategies alone fails but using the other or a combination of the two is successful ( Asnis, 2020 ; Bogdan et al, 2022 ; Ekici et al, 2021 ; Johnson et al, 2022 ; Lee and House, 2017 ; Marques Macedo and Gama Marques, 2019 ; Sundaram et al, 2021 ). In addition, consideration must be given to the prevention and management of the medical complications of catatonia.…”