摘要:

Friedreich's ataxia is commonly associated with depression. Treatment of the depression can be difficult due to numerous morbid medical conditions. ECT is a safe and effective treatment option.

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Objective and BackgroundElectroconvulsive therapy (ECT) is highly effective for acute catatonia but its use in prolonged catatonia is not well established. We report three cases of prolonged catatonia with medical complications or comorbidities treated by ECT.MethodCase reports.ResultsA 24 year-old woman developed fever and autonomic instability after parenteral neuroleptics. Catatonia and autonomic signs persisted for 14 weeks. After minimal improvement from lorazepam, 15 bilateral ECTs led to resolution. A 26-year-old woman with a history of lupus erythematosus, complicated by lupus cerebritis with lesions in the cortex and basal ganglia and a communicating hydrocephalus, was catatonic for 9 weeks. Lorazepam produced marginal improvement. A series of 14 bilateral ECTs led to improved mobility, speech, and interaction, but the response was less robust than Case 1. A 40-year-old man with mental retardation and intermittent psychosis developed severe neuroleptic malignant syndrome and remained catatonic for 4 months. After lorazepam produced minimal improvement, his catatonia resolved with 20 bilateral ECTs.ConclusionsECT may improve prolonged catatonia with complex medical comorbidities, but may require many treatment sessions. Gross cerebral pathology may predict a less robust response. As for acute catatonia, ECT may resolve prolonged catatonia after benzodiazepines have failed.

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

While most major depressive episodes are relatively short lasting, a substantial minority of patients with severe mood disorders respond poorly to available treatments and remain ill for extended periods of time. The possible role of continuation and maintenance electroconvulsive therapy (ECT) in the management of such patients has not been clearly established. Three patients are reported whose long-lasting, relatively medication refractory episodes of major depression were treated with ECT for both acute and continuation and maintenance purposes. Although relapses occurred despite treatment, the frequency, severity, and duration of relapses were apparently diminished by ECT. Relapses occurred with diminishing frequency over the course of individual episodes, and were typically reversed by three or four closely spaced ECT treatments. No medical complications occurred. While complaints of memory difficulty were common, Mini-Mental Status Examinations 6 weeks after ECT were unimpaired.Continuation and maintenance ECT appears to be a safe and effective treatment modality for long-lasting episodes of major depression. Recommendations for clinical management are proposed.

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Two patients with advanced dementia and severe affective disorders were successfully treated with electroconvulsive therapy (ECT) without significant adverse effects. These reports illustrate that ECT can be effective for depression and mania even when complicated by moderate or severe dementia.

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

We report the case of a 68-year-old woman with progressive supranuclear palsy whose depression was successfully treated with electroconvulsive therapy. She tolerated the treatments well and showed neither improvement nor decline in the neurologic symptoms of her illness.

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

A 25-year-old patient with paraplegia, hypopituitarism, hydrocephalus, and a ventriculoperitoneal shunt was successfully treated with a course of bilateral electroconvulsive therapy (ECT) for major depression. Brain imaging studies and neurology/endocrinology consultations were obtained prior to the use of ECT. Throughout the course of ECT, his replacement hormonal therapy continued. Prior to each ECT, additional parenteral hydrocortisone was also administered. Consistent with the previously published reports, the patient did not experience any neurological deterioration. A brief review of the literature on the use of ECT in patients with panhypopituitarism, spinal cord injury, and hydrocephalus is presented.

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1095-0680    

出版商:OVID    

年代:2001

数据来源: OVID