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 |
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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 |
format | Article |
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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.
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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.</description><subject>Antipsychotic Agents - therapeutic use</subject><subject>bipolar disorder</subject><subject>Bipolar Disorder - drug therapy</subject><subject>Bipolar Disorder - rehabilitation</subject><subject>Bipolar Disorder - therapy</subject><subject>Drug Resistance</subject><subject>ECT</subject><subject>electroconvulsive therapy</subject><subject>Electroconvulsive Therapy - methods</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Lithium Carbonate - therapeutic use</subject><subject>maintenance electroconvulsive therapy</subject><subject>Male</subject><subject>mania</subject><subject>mECT</subject><subject>Middle Aged</subject><subject>Recurrence</subject><subject>refractory mania</subject><issn>1398-5647</issn><issn>1399-5618</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOwzAQRS0EoqXwCygrdgmeJHZsiQ20PCoVsYG15TgTkSqPYiel-XuStoIts5krzb0zo0OIBzSAoW7XAURS-oyDCEJKeUBpBGGwOyHT38HpXotBx8mEXDi3phR4SNk5mQDnkouITcniVRd1i7WuDXpYomltY5p625Wu2KLXfqLVm97LG-tZNJ21WLeDyq02bWN7r9J1oS_JWa5Lh1fHPiMfT4_v8xd_9fa8nN-vfBNxHvp5mKaZRJAipQyyBIExgbnhyIShICNMGQOaSG1CZBkAFzqlIkzi2OQgZTQjN4e9G9t8dehaVRXOYFnqGpvOKZ5IDkzGg1EcjMY2zg3vqo0tKm17BVSNBNVajaDUCEqNBNWeoNoN0evjjS6tMPsLHpENhruD4bsosf_3YvWwWA4i-gFZ4n-0</recordid><startdate>200606</startdate><enddate>200606</enddate><creator>Nascimento, Antonio Leandro</creator><creator>Appolinario, José Carlos</creator><creator>Segenreich, Daniel</creator><creator>Cavalcanti, Maria Tavares</creator><creator>Brasil, Marco Antonio Alves</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200606</creationdate><title>Maintenance electroconvulsive therapy for recurrent refractory mania</title><author>Nascimento, Antonio Leandro ; Appolinario, José Carlos ; Segenreich, Daniel ; Cavalcanti, Maria Tavares ; Brasil, Marco Antonio Alves</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3662-f2bbd9e198b051d7e1558efc6e58c0193eb551079ac2e5d1168ab082744cf1993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Antipsychotic Agents - therapeutic use</topic><topic>bipolar disorder</topic><topic>Bipolar Disorder - drug therapy</topic><topic>Bipolar Disorder - rehabilitation</topic><topic>Bipolar Disorder - therapy</topic><topic>Drug Resistance</topic><topic>ECT</topic><topic>electroconvulsive therapy</topic><topic>Electroconvulsive Therapy - methods</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Lithium Carbonate - therapeutic use</topic><topic>maintenance electroconvulsive therapy</topic><topic>Male</topic><topic>mania</topic><topic>mECT</topic><topic>Middle Aged</topic><topic>Recurrence</topic><topic>refractory mania</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nascimento, Antonio Leandro</creatorcontrib><creatorcontrib>Appolinario, José Carlos</creatorcontrib><creatorcontrib>Segenreich, Daniel</creatorcontrib><creatorcontrib>Cavalcanti, Maria Tavares</creatorcontrib><creatorcontrib>Brasil, Marco Antonio Alves</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Bipolar disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nascimento, Antonio Leandro</au><au>Appolinario, José Carlos</au><au>Segenreich, Daniel</au><au>Cavalcanti, Maria Tavares</au><au>Brasil, Marco Antonio Alves</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maintenance electroconvulsive therapy for recurrent refractory mania</atitle><jtitle>Bipolar disorders</jtitle><addtitle>Bipolar Disord</addtitle><date>2006-06</date><risdate>2006</risdate><volume>8</volume><issue>3</issue><spage>301</spage><epage>303</epage><pages>301-303</pages><issn>1398-5647</issn><eissn>1399-5618</eissn><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>16696835</pmid><doi>10.1111/j.1399-5618.2006.00312.x</doi><tpages>3</tpages></addata></record> |
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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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