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Treatment of Catatonia With Ultrabrief Right Unilateral Electroconvulsive Therapy: A Case Series.
J ECT. 2015 Sep; 31(3):192-6.JE

Abstract

Catatonia is a syndrome heterogeneous with regard to presentation and etiology. Electroconvulsive therapy (ECT) remains the first-line treatment for catatonia. Literature review reveals only a few published case reports on the use of right unilateral (RUL) ECT in catatonia, 1 case report on ultrabrief RUL ECT, and an absence of evidence on the relative effectiveness and tolerability of RUL versus bilateral ECT in treating catatonia. In contrast, there are multiple reports in the literature of robustly dosed bilateral ECT, often administered on consecutive days. Reasons for choosing this intervention over the better-tolerated RUL treatment include assumptions about its relative speed and/or breadth of efficacy. Here we present a case series of 13 catatonic patients treated in an academic center over the course of the last 3 years. Our experience suggests that ultrabrief RUL ECT can rapidly and effectively treat catatonia from diverse etiologies.

Authors+Show Affiliations

From the UT Southwestern Psychiatry Residency at the Seton Family of Hospitals, Austin, TX.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25243751

Citation

Kugler, Joseph L., et al. "Treatment of Catatonia With Ultrabrief Right Unilateral Electroconvulsive Therapy: a Case Series." The Journal of ECT, vol. 31, no. 3, 2015, pp. 192-6.
Kugler JL, Hauptman AJ, Collier SJ, et al. Treatment of Catatonia With Ultrabrief Right Unilateral Electroconvulsive Therapy: A Case Series. J ECT. 2015;31(3):192-6.
Kugler, J. L., Hauptman, A. J., Collier, S. J., Walton, A. E., Murthy, S., Funderburg, L. G., & Garcia, K. S. (2015). Treatment of Catatonia With Ultrabrief Right Unilateral Electroconvulsive Therapy: A Case Series. The Journal of ECT, 31(3), 192-6. https://doi.org/10.1097/YCT.0000000000000185
Kugler JL, et al. Treatment of Catatonia With Ultrabrief Right Unilateral Electroconvulsive Therapy: a Case Series. J ECT. 2015;31(3):192-6. PubMed PMID: 25243751.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of Catatonia With Ultrabrief Right Unilateral Electroconvulsive Therapy: A Case Series. AU - Kugler,Joseph L, AU - Hauptman,Aaron J, AU - Collier,Samuel J, AU - Walton,Amy E, AU - Murthy,Smitha, AU - Funderburg,Linda G, AU - Garcia,Keith S, PY - 2014/9/23/entrez PY - 2014/9/23/pubmed PY - 2016/5/24/medline SP - 192 EP - 6 JF - The journal of ECT JO - J ECT VL - 31 IS - 3 N2 - Catatonia is a syndrome heterogeneous with regard to presentation and etiology. Electroconvulsive therapy (ECT) remains the first-line treatment for catatonia. Literature review reveals only a few published case reports on the use of right unilateral (RUL) ECT in catatonia, 1 case report on ultrabrief RUL ECT, and an absence of evidence on the relative effectiveness and tolerability of RUL versus bilateral ECT in treating catatonia. In contrast, there are multiple reports in the literature of robustly dosed bilateral ECT, often administered on consecutive days. Reasons for choosing this intervention over the better-tolerated RUL treatment include assumptions about its relative speed and/or breadth of efficacy. Here we present a case series of 13 catatonic patients treated in an academic center over the course of the last 3 years. Our experience suggests that ultrabrief RUL ECT can rapidly and effectively treat catatonia from diverse etiologies. SN - 1533-4112 UR - https://www.unboundmedicine.com/medline/citation/25243751/Treatment_of_Catatonia_With_Ultrabrief_Right_Unilateral_Electroconvulsive_Therapy:_A_Case_Series_ L2 - http://dx.doi.org/10.1097/YCT.0000000000000185 DB - PRIME DP - Unbound Medicine ER -