Catatonia and Maintenance Electroconvulsive Therapy in a 15-Year-Old Patient With MED13L Haploinsufficiency Syndrome in the Context of Epilepsy Diathesis

H Yavuz Ince; Kerri Neville; Jamarie Geller; Alexander Palffy; Can Beser; Julie Ziobro; Neera Ghaziuddin

doi:10.1097/YCT.0000000000001049

Catatonia and Maintenance Electroconvulsive Therapy in a 15-Year-Old Patient With MED13L Haploinsufficiency Syndrome in the Context of Epilepsy Diathesis

J ECT. 2024 Sep 1;40(3):201-202. doi: 10.1097/YCT.0000000000001049. Epub 2024 Jul 4.

Authors

H Yavuz Ince¹, Kerri Neville², Jamarie Geller¹, Alexander Palffy¹, Can Beser¹, Julie Ziobro², Neera Ghaziuddin¹

Affiliations

¹ From the Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Michigan, Ann Arbor, MI.
² Department of Pediatrics, Division of Pediatric Neurology, University of Michigan, Ann Arbor, MI.

PMID: 38968441
DOI: 10.1097/YCT.0000000000001049

Abstract

This is the first report of pediatric catatonia syndrome in MED13L haploinsufficiency syndrome. This report describes unique challenges in diagnosis and management of catatonia in rare genetic conditions. The case also illustrates the use of electroconvulsive therapy in patients with epilepsy, epileptic encephalopathy, or other epileptic diathesis and the clinical conundrum in determining the course of maintenance electroconvulsive therapy.

Publication types

Case Reports

MeSH terms

Adolescent
Catatonia* / complications
Catatonia* / genetics
Catatonia* / therapy
Electroconvulsive Therapy*
Epilepsy* / complications
Epilepsy* / genetics
Epilepsy* / therapy
Haploinsufficiency*
Humans
Male
Mediator Complex / genetics

Substances

Mediator Complex