ArticleCureus2026
Acute Psychotic Episode With Catatonia in an Adolescent With Marfan Syndrome: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Neuropsychiatric symptoms of Marfan syndrome (MFS) are rarely described, yet accumulating evidence suggests a possible association with psychotic disorders. We report a 17-year-old male with MFS who, two months after medically indicated sternal repair for Marfan-related skeletal dysplasia, developed an acute psychotic episode with catatonia. Catatonic features on admission comprised mutism, rigidity, negativism, posturing, and food refusal (Bush-Francis Catatonia Rating Scale score 31/69). Psychotic features included persecutory delusions, delusions of immortality, and hallucinatory behaviour. Biographical review revealed longstanding limited autonomy, poor social integration, and reactive body image distress following surgery. After exclusion of organic and toxic causes, a diagnosis of brief psychotic disorder comorbid with mild intellectual disability was established. Benzodiazepine treatment was initiated for catatonia; olanzapine was added on day seven for persistent psychotic features, achieving full remission by day 24, with sustained remission off all medication over three years of follow-up. Three pathogenic axes are discussed as hypotheses - a possible shared genetic vulnerability via fibrillin-1/TGF-β dysregulation; Lujan-Fryns syndrome as an unresolved differential; and a stress-diathesis model in which surgery precipitated decompensation on a background of psychosocial burden and cognitive vulnerability. This case supports systematic psychiatric screening in MFS patients, particularly around major surgical events in adolescence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.