Maintenance electroconvulsive therapy for recurrent refractory mania

Background:  Although there are some reports on the efficacy of maintenance electroconvulsive therapy (mECT) in rapid cycling bipolar disorder there is scant data about the use of mECT in the non‐rapid cycling form of this condition. Patient and methods:  We report the case of a 45‐year‐old man diag...

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Veröffentlicht in:Bipolar disorders 2006-06, Vol.8 (3), p.301-303
Hauptverfasser: Nascimento, Antonio Leandro, Appolinario, José Carlos, Segenreich, Daniel, Cavalcanti, Maria Tavares, Brasil, Marco Antonio Alves
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container_end_page 303
container_issue 3
container_start_page 301
container_title Bipolar disorders
container_volume 8
creator Nascimento, Antonio Leandro
Appolinario, José Carlos
Segenreich, Daniel
Cavalcanti, Maria Tavares
Brasil, Marco Antonio Alves
description Background:  Although there are some reports on the efficacy of maintenance electroconvulsive therapy (mECT) in rapid cycling bipolar disorder there is scant data about the use of mECT in the non‐rapid cycling form of this condition. Patient and methods:  We report the case of a 45‐year‐old man diagnosed with bipolar affective disorder at the age of 32 who had 5 manic episodes in 6 years. These episodes were severe, required hospitalization and had poor response to lithium carbonate, sodium valproate, carbamazepine, haloperidol and chlorpromazine (either alone or in combination). The patient was treated with electroconvulsive therapy (ECT) during his last hospitalization and since then his treatment has included mECT and chlorpromazine (400 mg/day) and he has remained euthymic during the past 21 months. Conclusion:  This case describes the utility of mECT in medication refractory bipolar disorder.
doi_str_mv 10.1111/j.1399-5618.2006.00312.x
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source MEDLINE; Wiley Blackwell Single Titles
subjects Antipsychotic Agents - therapeutic use
bipolar disorder
Bipolar Disorder - drug therapy
Bipolar Disorder - rehabilitation
Bipolar Disorder - therapy
Drug Resistance
ECT
electroconvulsive therapy
Electroconvulsive Therapy - methods
Hospitalization - statistics & numerical data
Humans
Lithium Carbonate - therapeutic use
maintenance electroconvulsive therapy
Male
mania
mECT
Middle Aged
Recurrence
refractory mania
title Maintenance electroconvulsive therapy for recurrent refractory mania
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