Remission of a complex periodic catatonic syndrome under electroconvulsive therapy

Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Österreichischer Nervenärzte und Psychiater
Robert QueissnerHans-Peter Kapfhammer

Abstract

This article is reporting about a spontaneous occurred catatonic syndrome in a 52 years old female patients with no prior psychiatric illness record. The catatonia followed a severe depressive episode with psychotic symptoms. At the beginning additionally to the catatonic-symptoms severe disorientation and memory disturbances were prominent in a way it can be seen in neurodegenerative diseases like Lewy-Body-Dementia and Creutzfeldt-Jacob-Disease. The patient didn't respond on any medication or showed severe side-effects which led to discontinue the medication. After applying widespread somatic diagnostics, which has excluded a neurodegenerative disease a electroconvulsive therapy was applied. During this treatment the patient showed a recurrence of her catatonic symptoms but they remitted if there was a too long period between the convulsive treatments. After establishing a sufficient period between the convulsive treatments the symptoms remitted totally.

References

Apr 5, 2001·Trends in Cognitive Sciences·H D. Ellis, M B. Lewis
Jul 19, 2016·The Journal of ECT·Max FinkW Vaughn McCall
Apr 14, 2017·International Review of Psychiatry·Richard D Weiner, Irving M Reti

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