Maintenance electroconvulsive therapy for recurrent refractory mania

Abstract

This case describes the utility of mECT in medication refractory bipolar disorder.

Electroconvulsive Therapy: Part I. A Perspective on the Evolution and Current Practice of ECT

“…In both studies, the introduction of ECT resulted in marked clinical improvement or remission in 100% of cases. Two individual case reports published in 2006 also offered compelling examples of ECT's efficacy for recurrent refractory mania62 and medication-resistant bipolar disorder 63…”

A prospective comparative study of interaction between lithium and modified electroconvulsive therapy

“…This is particularly so in the case of medication resistant bipolar disorders (Tsao et al 2004;Vaidya et al 2003). ECT can also be used as a maintenance treatment option (Husain et al 1993;Nascimento et al 2006). These situations may demand the use of ECT in patients also receiving lithium.…”

ECT in therapy‐resistant mania: does it have a place?

“…These authors also present neuropsychological data to show that this extended series of treatments is not accompanied by deterioration in her mental functions. Nascimento et al (8) from Rio de Janeiro echo the findings reporting the remission of a manic illness with ECT in a 45-year-old man with a 16-year history of hospitalizations. C-ECT and chlorpromazine has successfully maintained him in the community for 2 years at the time of the report.…”

“…Nascimento et al. (8) from Rio de Janeiro echo the findings reporting the remission of a manic illness with ECT in a 45‐year‐old man with a 16‐year history of hospitalizations. C‐ECT and chlorpromazine has successfully maintained him in the community for 2 years at the time of the report.…”