Association between COVID-19 and catatonia manifestation in two adolescents in Central Asia: Incidental findings or cause for alarm?
Kopishinskaia S. Cumming P. Karpukhina S. Velichko I. Raskulova G. Zheksembaeva N. Tlemisova D. Morozov P. Fountoulakis K.N. Smirnova D.
September 2021Elsevier B.V.
Asian Journal of Psychiatry
2021#63
Catatonia is a rare neuropsychiatric syndrome that can accompany various medical conditions, including schizophrenia, autoimmune encephalitis, and infectious diseases. We present two cases of catatonia in males aged 12 and 17 years from Central Asia who tested positive for SARS-Cov-2 antibodies. Detailed medical assessments declined other potential precipitating factors, including schizophrenia or anti-NMDA receptor autoimmune encephalitis. FDG-PET in the younger patient demonstrated focal hypometabolism in left frontotemporal and right associative visual cortex, matching patterns previously seen in adults with catatonia. These isolated findings raise concerns about a possible causal relationship between COVID-19 infection and risk of catatonia manifestation in adolescents.
Catatonia , COVID-19 , FDG-PET , Frontotemporal cortex , Neuropsychiatric complications , Psychomotor symptoms
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International Centre for Education and Research in Neuropsychiatry, Samara State Medical University, Samara, Russian Federation
Department of Neurology, Neurosurgery and Neurorehabilitation, Kirov State Medical University, Kirov, Russian Federation
Department of Nuclear Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia
Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, Samara, Russian Federation
Kuban State Medical University, Krasnodar, Russian Federation
Nuclear Medicine Department, University Medical Center, Nur-Sultan, Kazakhstan
Regional Childrens Clinical Hospital, Karaganda, Kazakhstan
Department of Psychiatry, Faculty of Advanced Medical Studies, Russian National Medical Research University n.a. Pirogov, Moscow, Russian Federation
3rd Department of Psychiatry, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
International Centre for Education and Research in Neuropsychiatry
Department of Neurology
Department of Nuclear Medicine
School of Psychology and Counselling
Department of Psychiatry
Kuban State Medical University
Nuclear Medicine Department
Regional Childrens Clinical Hospital
Department of Psychiatry
3rd Department of Psychiatry
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