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Successful treatment of co-occurring catatonia and obsessive-compulsive disorder with concurrent electroconvulsive therapy and benzodiazepine administration.
J ECT. 2012 Sep; 28(3):e35-6.JE

Abstract

Catatonia, associated with a variety of medical and psychiatric conditions such as mood disorders and schizophrenia, is frequently treated with either benzodiazepines or with electroconvulsive therapy (ECT) in treatment-resistant cases. Simultaneous treatment with both is usually avoided. Here, we report a case of the use of the benzodiazepine antagonist flumazenil before ECT to facilitate the simultaneous use of lorazepam and ECT for the treatment of co-occurring catatonia and obsessive-compulsive disorder. Both catatonia and obsessive-compulsive disorder symptoms improved in the patient. Physicians should be aware of flumazenil as a clinical tool for use in treatment-resistant cases.

Authors+Show Affiliations

Department of Psychiatry and Biobehavioral Science, UCLA School of Medicine, Los Angeles, CA, USA. mmakh@ucla.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22914637

Citation

Makhinson, Michael, et al. "Successful Treatment of Co-occurring Catatonia and Obsessive-compulsive Disorder With Concurrent Electroconvulsive Therapy and Benzodiazepine Administration." The Journal of ECT, vol. 28, no. 3, 2012, pp. e35-6.
Makhinson M, Furst BA, Shuff MK, et al. Successful treatment of co-occurring catatonia and obsessive-compulsive disorder with concurrent electroconvulsive therapy and benzodiazepine administration. J ECT. 2012;28(3):e35-6.
Makhinson, M., Furst, B. A., Shuff, M. K., & Kwon, G. E. (2012). Successful treatment of co-occurring catatonia and obsessive-compulsive disorder with concurrent electroconvulsive therapy and benzodiazepine administration. The Journal of ECT, 28(3), e35-6. https://doi.org/10.1097/YCT.0b013e318254c2ea
Makhinson M, et al. Successful Treatment of Co-occurring Catatonia and Obsessive-compulsive Disorder With Concurrent Electroconvulsive Therapy and Benzodiazepine Administration. J ECT. 2012;28(3):e35-6. PubMed PMID: 22914637.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful treatment of co-occurring catatonia and obsessive-compulsive disorder with concurrent electroconvulsive therapy and benzodiazepine administration. AU - Makhinson,Michael, AU - Furst,Benjamin Albert, AU - Shuff,Michelle Kristina, AU - Kwon,Grace Eun, PY - 2012/8/24/entrez PY - 2012/8/24/pubmed PY - 2013/1/4/medline SP - e35 EP - 6 JF - The journal of ECT JO - J ECT VL - 28 IS - 3 N2 - Catatonia, associated with a variety of medical and psychiatric conditions such as mood disorders and schizophrenia, is frequently treated with either benzodiazepines or with electroconvulsive therapy (ECT) in treatment-resistant cases. Simultaneous treatment with both is usually avoided. Here, we report a case of the use of the benzodiazepine antagonist flumazenil before ECT to facilitate the simultaneous use of lorazepam and ECT for the treatment of co-occurring catatonia and obsessive-compulsive disorder. Both catatonia and obsessive-compulsive disorder symptoms improved in the patient. Physicians should be aware of flumazenil as a clinical tool for use in treatment-resistant cases. SN - 1533-4112 UR - https://www.unboundmedicine.com/medline/citation/22914637/Successful_treatment_of_co_occurring_catatonia_and_obsessive_compulsive_disorder_with_concurrent_electroconvulsive_therapy_and_benzodiazepine_administration_ L2 - http://dx.doi.org/10.1097/YCT.0b013e318254c2ea DB - PRIME DP - Unbound Medicine ER -