Case Report

Pervasive Refusal Syndrome: Three Case Reports—Autism as a Predisposing Factor and Gentle Coercion to Shorten Duration of Disorder?

Table 3

Features of inpatient stay.

Case 1Case 2Case 3

Time from onset to admission (months)353
Medical workupLP, EEG, MRI brain, neurology examination, comprehensive blood analysisLP, EEG, MRI brain, CT scan neck, neurology and ear, nose, and throat examination, comprehensive blood analysisLP, EEG, neurology examination, comprehensive blood analysis
Tube feeding (months)66
School absence (months)Dropped out at onset510
Enuresis (months)2
Mutism (months)6302
Wheelchair (months)18 indoors, 21 outdoors294 indoors, 5 outdoors
Angry resistance+++
ActivationGentleGentle (partly coercive after discharge)Coercive
MedicationFluoxetine, olanzapine, methylphenidate, lorazepam testFluoxetine, sertralineSertraline, quetiapine
Duration of inpatient stay (months)148.58

LP: lumbar puncture; EEG: electroencephalography; CT: computerized tomography; MRI: magnetic resonance imaging.