Remission of catatonia after intravenous propofol infusion for unrelated reasons

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2021, Volume 29, Issue 5 : 222-225

Article

Remission of catatonia after intravenous propofol infusion for unrelated reasons

van den Hoven D.J.

aan de Stegge B.M.

Ayodeji I.D.

Emergency Department, Elisabeth-TweeSteden Hospital, Tilburg, Netherlands

Department of Old-Age Psychiatry, GGNet, Institute for Mental Health, Zutphen, Netherlands

Surgeon-Intensivist, independent consultant

Abstract

In the aftermath of a cerebrovascular accident, a 66-year-old male patient with a recurrent depressive disorder displayed prolonged stupor, mutism, negativism, immobility, catalepsia and posturing. The abrupt improvement of his symptoms directly after administering oral lorazepam confirmed the diagnosis of catatonia. Subsequent titration of lorazepam reduced the catatonic symptoms, but did not completely resolve them. Propofol infusion given for an unrelated reason led to an abrupt, remarkable and complete remission of the catatonic symptoms. This article contains a case report, description of the possible pathophysiological explanation for the beneficial effect of propofol on catatonia and a review of literature. © 2021, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Catatonia

Intensive Care

Propofol

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