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Case Report

A Case of Pediatric Catatonia: Role of the Lorazepam Challenge Test

Bibliographic Data

ID15517715
AuthorsLaura Ridgeway (University Hospital Waterford, corresponding author), Albert Okoye (University Hospital Waterford, corresponding author), Ian McClelland (Temple Street Children's University Hospital), Dirk Dhossche, Dirk M Dhossche (0000-0002-3642-8661, University of Mississippi Medical Center), Deniz Kutay (University Hospital Waterford), Mário Loureiro (0009-0009-7329-2511, University Hospital Waterford)
Year2021
Volume12
Pages637886-637886
Publication date2021-03-24
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.637886
PMID33841207
OpenAlexW3137604257
LanguageEN
Citations received1
References cited17

A case of a 12-year-old boy who developed catatonia is presented. He had no previous psychiatric history but has a family history of affective disorder. An extensive medical workup was negative. Despite a negative lorazepam challenge test, lorazepam was titrated up to 24 mg/day, with resolution of most catatonic symptoms. The case highlights an important point in the management of catatonia that may be a source of confusion, i.e., a positive lorazepam challenge test corroborates the diagnosis of catatonia; however, a negative lorazepam challenge test does not negate the diagnosis of catatonia, and subsequent focused benzodiazepine treatment may still be effective

Benzodiazepine · Catatonia · Confusion · Lorazepam · Psychiatry · Psychoanalysis · Schizophrenia (object-oriented programming · Bipolar Disorder and Treatment · Coordination Chemistry and Organometallics · Electroconvulsive Therapy Studies · Medicine · Psychology · Internal Medicine

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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