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Successful use of right unilateral ECT for catatonia: a case series.
J ECT. 2014 Mar; 30(1):69-72.JE

Abstract

Catatonia is a neuropsychiatric syndrome involving motor signs in association with disorders of mood, behavior, or thought. Bitemporal electrode placement electroconvulsive therapy (ECT) is a proven effective treatment for catatonia, and this mode of ECT delivery is the preferred method of treatment in this condition. Studies in major depressive disorder have demonstrated that suprathreshold, nondominant (right) hemisphere, unilateral electrode placement ECT has fewer adverse effects, especially cognitive adverse effects, than bitemporal ECT. This case series describes the use of right unilateral (RUL) ECT in 5 patients with catatonia. Before ECT, all 5 patients in this series initially failed therapy with benzodiazepines and psychotropic medications. Each catatonic patient received a series of 8 to 12 RUL ECT in an every-other-day series. After ECT, 4 of the 5 patients had a full recovery from catatonia. One patient achieved only partial response to RUL ECT, and no additional benefit was obtained with bitemporal ECT. All patients in this case series tolerated RUL ECT without major adverse effects. This case series illustrates successful use of RUL ECT in patients with catatonia and adds to the early literature demonstrating its effective use in treating this complex condition.

Authors+Show Affiliations

From the *Department of Psychiatry, Washington University School of Medicine, St. Louis, MO and †BJC Behavioral Health, St. Louis, MO.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23859978

Citation

Cristancho, Pilar, et al. "Successful Use of Right Unilateral ECT for Catatonia: a Case Series." The Journal of ECT, vol. 30, no. 1, 2014, pp. 69-72.
Cristancho P, Jewkes D, Mon T, et al. Successful use of right unilateral ECT for catatonia: a case series. J ECT. 2014;30(1):69-72.
Cristancho, P., Jewkes, D., Mon, T., & Conway, C. (2014). Successful use of right unilateral ECT for catatonia: a case series. The Journal of ECT, 30(1), 69-72. https://doi.org/10.1097/YCT.0b013e31829a01d3
Cristancho P, et al. Successful Use of Right Unilateral ECT for Catatonia: a Case Series. J ECT. 2014;30(1):69-72. PubMed PMID: 23859978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Successful use of right unilateral ECT for catatonia: a case series. AU - Cristancho,Pilar, AU - Jewkes,Delaina, AU - Mon,Thetsu, AU - Conway,Charles, PY - 2013/7/18/entrez PY - 2013/7/19/pubmed PY - 2014/10/17/medline SP - 69 EP - 72 JF - The journal of ECT JO - J ECT VL - 30 IS - 1 N2 - Catatonia is a neuropsychiatric syndrome involving motor signs in association with disorders of mood, behavior, or thought. Bitemporal electrode placement electroconvulsive therapy (ECT) is a proven effective treatment for catatonia, and this mode of ECT delivery is the preferred method of treatment in this condition. Studies in major depressive disorder have demonstrated that suprathreshold, nondominant (right) hemisphere, unilateral electrode placement ECT has fewer adverse effects, especially cognitive adverse effects, than bitemporal ECT. This case series describes the use of right unilateral (RUL) ECT in 5 patients with catatonia. Before ECT, all 5 patients in this series initially failed therapy with benzodiazepines and psychotropic medications. Each catatonic patient received a series of 8 to 12 RUL ECT in an every-other-day series. After ECT, 4 of the 5 patients had a full recovery from catatonia. One patient achieved only partial response to RUL ECT, and no additional benefit was obtained with bitemporal ECT. All patients in this case series tolerated RUL ECT without major adverse effects. This case series illustrates successful use of RUL ECT in patients with catatonia and adds to the early literature demonstrating its effective use in treating this complex condition. SN - 1533-4112 UR - https://www.unboundmedicine.com/medline/citation/23859978/Successful_use_of_right_unilateral_ECT_for_catatonia:_a_case_series_ L2 - http://dx.doi.org/10.1097/YCT.0b013e31829a01d3 DB - PRIME DP - Unbound Medicine ER -