Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
ECT for prolonged catatonia
Autore:
Malur, C; Pasol, E; Francis, A;
Indirizzi:
SUNY Stony Brook, Dept Psychiat & Behav Sci, Stony Brook, NY 11794 USA SUNY Stony Brook Stony Brook NY USA 11794 Sci, Stony Brook, NY 11794 USA
Titolo Testata:
JOURNAL OF ECT
fascicolo: 1, volume: 17, anno: 2001,
pagine: 55 - 59
SICI:
1095-0680(200103)17:1<55:EFPC>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEUROLEPTIC MALIGNANT SYNDROME; LETHAL CATATONIA; ELECTROCONVULSIVE-THERAPY; AMOBARBITAL INTERVIEW; PSYCHOGENIC CATATONIA; LORAZEPAM; MUTISM;
Keywords:
catatonia; electroconvulsive therapy; neuroleptic malignant syndrome; benzodiazepine; lupus erythematosus, systemic;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Francis, A SUNY Stony Brook, Hlth Sci Ctr, Dept Psychiat, T-10, Stony Brook, NY 11794USA SUNY Stony Brook T-10 Stony Brook NY USA 11794 ook, NY 11794USA
Citazione:
C. Malur et al., "ECT for prolonged catatonia", J ECT, 17(1), 2001, pp. 55-59

Abstract

Objective and Background: Electroconvulsive 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. Method: Case reports. Results: A 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 lupuscerebritis 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-oldman 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. Conclusions: ECT 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 08:26:00