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Transcranial Direct Current Stimulation Treatment in an Adolescent with Autism and Drug-Resistant Catatonia

  • F. Costanzo
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
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  • D. Menghini
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
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  • L. Casula
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
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  • A. Amendola
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
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  • L. Mazzone
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
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  • G. Valeri
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
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  • S. Vicari
    Correspondence
    Corresponding author. Department of Neuroscience, Child Neuropsychiatry Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165, Rome, ItalyTel.: +39 06 68592735-4; fax:+39 06 68592450
    Affiliations
    Department of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, Piazza Sant'Onofrio 4, I-00165 Rome, Italy
    Search for articles by this author
Published:August 24, 2015DOI:https://doi.org/10.1016/j.brs.2015.08.009
      Catatonia is a syndrome characterized by alterations in motor, vocal and behavioral signs, generally occurring in the context of various medical and neuropsychiatric conditions [
      • Fink M.
      Rediscovering catatonia: the biography of a treatable syndrome.
      ]. Recent evidence suggests an increased recognition of catatonia as a comorbid syndrome of Autism Spectrum Disorder (ASD), with a prevalence ranging between 12% and 17% [
      • Ghaziuddin N.
      • Dhossche D.
      • Marcotte K.
      Retrospective chart review of catatonia in child and adolescent psychiatric patients.
      ]. Although the nature of the association between these two conditions is still unclear, the co-occurrence of catatonic symptoms and ASD may be due to shared abnormalities in neuronal circuitries. Indeed, alteration in several areas of the prefrontal cortex was documented to play a critical role in catatonia [
      • Northoff G.
      What catatonia can tell us about ‘top-down modulation’: a neuropsychiatric hypothesis.
      ] as well as in ASD [
      • Just M.A.
      • Keller T.A.
      • Malave V.L.
      • Kana R.K.
      • Varma S.
      Autism as a neural systems disorder: a theory of frontal-posterior underconnectivity.
      ].
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