Progressive paranoid psychosis in a 20-year-old with central congenital hypoventilation syndrome.

Dranovsky, Alex; Needleman, Joshua P; Sylvester, Jessica; VanHeertum, Ronald; Muskin, Philip R · Pediatrics · 2014

case_report · Level V

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Abstract

A 20-year-old man with a history of congenital central hypoventilation syndrome presented with recent-onset psychosis, catatonia, and a diagnosis of schizophrenia. Psychiatric symptoms were resistant to conventional treatment. A fluorodeoxyglucose positron emission tomography scan of the brain obtained during the hospitalization revealed a hypometabolism distribution more consistent with hypoperfusion than with primary central nervous system disease. Increased mechanical ventilation was successfully used to treat the psychiatric symptoms.

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