• Yong Xia, Yuyong Sun, Qianna Zhi, Wenjing Cui, and Xiaoyan Liu.
• Affiliated Mental Health Center & Hangzhou Seventh People's Hospital, Zhejiang University School of Medicine, Zhejiang, China.
• Medicine (Baltimore). 2024 Apr 5; 103 (14): e37730e37730.

RationaleTurner syndrome (TS) is a genetic disorder associated with partial or complete monosomy X abnormalities; some patients may have a higher risk of psychiatric symptoms. Catatonia is associated with a wide range of life-threatening complications with complex pathogenesis; However, It very rare for patients with TS to develop psychotic symptoms and eventually progress to catatonia. This case report describes the diagnostic and therapeutic course of catatonia-associated TS.Patient ConcernsIn this study, we report the case of a patient with TS who initially developed sudden hallucinations, delusions, and emotional instability, followed by catatonia.DiagnosesThe patient was diagnosed with: unspecified catatonia; TS.InterventionsTreatment included administering a combination of esazolam injections and olanzapine tablets, placing a gastric tube and urinary catheter, and providing nutritional support.OutcomesAfter treatment, the patient's hallucinations, delusions, and catatonia disappeared, with no residual sequelae, and social functioning returned to normal.LessonsFor patients with TS who present with psychotic symptoms and catatonia, a comprehensive evaluation is necessary, and treatment with antipsychotics and benzodiazepines is effective.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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