2011
DOI: 10.4103/0019-5545.82549
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Bifrontal ECT for drug-induced psychosis in Parkinson′s disease

Abstract: Psychosis has been documented to occur during treatment for idiopathic Parkinson's disease (PD). This case report describes an elderly male who developed psychosis during the course of treatment for idiopathic PD. He was treated with clozapine but experienced significant adverse effects without clinical improvement. He was prescribed bifrontal electroconvulsive therapy (BF-ECT). Here, we report the efficacy of BF-ECT in treating psychosis and motor symptoms in PD, without producing cognitive side effects in an… Show more

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Cited by 18 publications
(17 citation statements)
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“…[ 27 33 ] Few case reports have also demonstrated the use of electroconvulsive therapy in treatment-resistant cases with comorbid schizophrenia and IPD resulting in significant improvement in both psychosis and parkinsonian symptoms. [ 23 34 35 36 37 ]…”
Section: Discussionmentioning
confidence: 99%
“…[ 27 33 ] Few case reports have also demonstrated the use of electroconvulsive therapy in treatment-resistant cases with comorbid schizophrenia and IPD resulting in significant improvement in both psychosis and parkinsonian symptoms. [ 23 34 35 36 37 ]…”
Section: Discussionmentioning
confidence: 99%
“…In the literature, there are some studies demonstrating the role of ECT in controlling motor symptoms of PD. The first study describing the use of ECT in the motor symptoms of PD was published in 1947, and since then, it has been suggested in some case reports of patients with PD and comorbid psychiatric illnesses treated with ECT, showing secondary improvement of the motor symptoms [16,17]. In a study of Usui et al, the authors mentioned about a course of ECT producing notable improvements not only in PD associated psychosis but also in the severity of PD.…”
Section: Discussionmentioning
confidence: 99%
“…63 Bifrontal ECT improved psychotic symptoms in an elderly patient with PD who did not respond to clozapine. 64 Finally, ECT demonstrated its effectiveness on psychotic symptoms in 8 patients having PD with psychotic symptoms and who were not responsive to quetiapine treatment. 65…”
Section: Psychotic Disordersmentioning
confidence: 96%