Catatonia in Older Adult Individuals with Intellectual Disabilities
Table 3
Case . Treatment, CPK, and catatonic symptoms.
Day
Olanzapine mg/day
Lorazepam mg/day
CPK IU/L (range 24–204)
KANNER scale
Behaviors
Total score
Mutism
1
20
3
30
20
3
992
92
4
Stereotypies1 and ambitendency2
31
20
0
108
20
0
262
129
20
1.5
135
20
1.5
137
20
3
86
2
157
20
9
Improvement3 and ↑ social interactions
191
20
9
692
198
20
9
776
76
2
↑ aggressive behavior and stereotypies1
199
20
12
600
217
20
12
801
Improvement
221
20
18
442
239
20
18
682
242
25
18
408
246
25
18
416
248
25
18
408
253
25
18
721
262
25
18
441
58
2
270
25
18
379
273
25
18
332
280
25
18
346
288
25
18
538
294
25
18
805
Worsening, running away from house
302
25
18
375
308
25
18
426
316
25
18
835
331
25
18
1202
72
6
345
25
18
1493
↑ aggression, stereotypies1, and ambitendency2
352
25
18
1460
1Stereotypies: the most characteristic stereotype associated with catatonic symptoms was rubbing and scratching his bottom to the point of irritating the skin. 2Ambitendency: the patient appeared motorically stuck in indecisive, hesitant movements [27]. The patient would go back and forth from the shower and get dressed and undressed. 3The patient was described as the “best ever” by staff.
