ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: The study examines the naturalistic clinical course of 21 patients with delusional depression following their acute response to ECT. Their course is contrasted with that of 31 patients with delusional depression who acutely responded to medication treatment. They were treated for a minimum of 6 months (mean 3.5 years) with various continuation medications. Delusional depression is associated with a high rate of relapse, and some form of continuation therapy is clearly required. Akin to the acute treatment studies of delusional depression, prophylaxis with antidepressants alone is inadequate in preventing relapse in delusional depression patients.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: A questionnaire on the use of maintenance or continuation ECT was mailed to 173 practitioners of ECT. Of 86 respondents, 51 reported they used maintenance therapy, and 35 did not. Users came from 24 states, with five states accounting for more than half. Of practitioners giving maintenance ECT, each treated a median of three patients annually between 1981 through 1984, with a range from zero to “thousands.” Frequency of treatments is determined empirically, with most treatments given monthly. Memory impairment is the most commonly cited risk. Depression is the diagnosis in 90% of the patients, with schizoaffective, schizophrenic, and manic patients equally comprising the remainder of the patients. The longest series reported for any one patient is 2,400 treatments.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: Isoflurane anesthesia therapy (IAT) has been suggested to have persistent antidepressant activity. In a replication trial, IAT was performed in six patients who had a recurrence of a severe depressive episode, previously treated with ECT. In 21 of 26 IAT sessions, an isoelectric electroencephalogram lasting between 5 and 12 min was recorded. Clinical antidepressant activity was not observed. It is concluded that IAT is not an effective replacement for ECT in the treatment of major depressive disorders.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: A case of neuroleptic malignant syndrome (NMS) successfully treated with electroconvulsive therapy (ECT) is presented and the literature on this subject is summarized. The possibility of an etiologic link between catatonia related to a psychiatric disorder and NMS is explored. Possible relationships between NMS and lethal catatonia are explored. ECT may be a useful treatment in selected cases of NMS, especially those with evidence of a preexisting ECT responsive disorder.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: The authors report two patients with a history of neuroleptic malignant syndrome (NMS) who were treated with ECT using succinylcholine as muscle relaxant, without ensuing complications. Most, though not all, of the evidence suggests that NMS is primarily central in origin in contrast to malignant hyperthermia, which is due to a genetic defect in skeletal muscle. Regardless of the theoretical debate over the origin of the high temperatures noted in NMS, reports to date suggest that modified ECT using succinylcholine can be safely used after remission of an episode of NMS.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: A 61-year-old white female patient with known endogenous depression developed acute life-threatening catatonia. Associated cardiac and respiratory insufficiency prevented drug therapy. The patient was successfully treated with ECT.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: We report the occurrence of spontaneous LSD (lysergic acid diethylamide)-like flashbacks after seven nondominant unilateral electroconvulsive therapy (ECT) treatments in a depressed patient with a history of hallucinogen abuse and flashbacks in the distant past. The similarity of the patient's reported experiences following ECT to the characteristic descriptions of LSD flashbacks is discussed. The differential diagnosis of LSD flashbacks in this case, and speculations regarding their origin, are also considered.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Summary: We report a depressed man, with a ventriculoatrial shunt for normal pressure hydrocephalus, who was successfully treated with electro-convulsive therapy (ECT). The management of patients who have brain shunts and who are referred for ECT is discussed.

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID

ISSN:0749-8055    

出版商:OVID    

年代:1987

数据来源: OVID