Key result
Electroconvulsive therapy in conjunction with lorazepam promptly ameliorated symptoms of unspecified catatonia in a young athlete after minimal improvement with high-dose lorazepam alone.
Case Report (n=1)
No
Electroconvulsive therapy combined with lorazepam can promptly ameliorate severe unspecified catatonia that is refractory to high-dose lorazepam alone.
Supports ECT after high-dose lorazepam failure in idiopathic catatonia; leaves open etiology and should not yet change practice.
A previously healthy professional athlete in his 20s, with no prior psychiatric or medical history, presented with a 4-day history of rapidly progressive neurological deterioration. This manifested as persistent stupor, mutism and profound psychomotor retardation, enduring several weeks with minimal improvement despite escalating doses of lorazepam (up to 14 mg/day). Extensive investigations at a tertiary neurological centre in the UK revealed no identifiable organic cause. The patient's symptoms ameliorated promptly with the initiation of electroconvulsive therapy in conjunction with lorazepam.
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Wong et al. (2025) conducted a case report in Unspecified catatonia (n=1). Electroconvulsive therapy in conjunction with lorazepam was evaluated on Symptom amelioration. Electroconvulsive therapy in conjunction with lorazepam promptly ameliorated symptoms of unspecified catatonia in a young athlete after minimal improvement with high-dose lorazepam alone.
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