Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy
The treatment of choice for acute schizophrenia is antipsychotic drug treatment and electroconvulsive therapy (ECT) and should only be considered as an option for treatment-resistant schizophrenia, where treatment with clozapine has already proven ineffective or intolerable. The use of ECT as a main...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2012/374752 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832556767174721536 |
|---|---|
| author | Beppe Micallef-Trigona Joseph Spiteri |
| author_facet | Beppe Micallef-Trigona Joseph Spiteri |
| author_sort | Beppe Micallef-Trigona |
| collection | DOAJ |
| description | The treatment of choice for acute schizophrenia is antipsychotic drug treatment and electroconvulsive therapy (ECT) and should only be considered as an option for treatment-resistant schizophrenia, where treatment with clozapine has already proven ineffective or intolerable. The use of ECT as a maintenance treatment for patients with schizophrenia and comorbid epilepsy is uncommon as scant evidence exists to support this. We describe a patient with a serious case of paranoid schizophrenia and comorbid epilepsy who had not responded to typical and atypical antipsychotic medication, but responded remarkably to acute ECT and required maintenance ECT to sustain a positive therapeutic response. |
| format | Article |
| id | doaj-art-a3a6c68e94194426aff74b849b4fb309 |
| institution | Kabale University |
| issn | 2090-682X 2090-6838 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-a3a6c68e94194426aff74b849b4fb3092025-02-03T05:44:30ZengWileyCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/374752374752Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid EpilepsyBeppe Micallef-Trigona0Joseph Spiteri1Department of Psychiatry, Mount Carmel Hospital, Attard, ATD 9033, MaltaDepartment of Psychiatry, Mount Carmel Hospital, Attard, ATD 9033, MaltaThe treatment of choice for acute schizophrenia is antipsychotic drug treatment and electroconvulsive therapy (ECT) and should only be considered as an option for treatment-resistant schizophrenia, where treatment with clozapine has already proven ineffective or intolerable. The use of ECT as a maintenance treatment for patients with schizophrenia and comorbid epilepsy is uncommon as scant evidence exists to support this. We describe a patient with a serious case of paranoid schizophrenia and comorbid epilepsy who had not responded to typical and atypical antipsychotic medication, but responded remarkably to acute ECT and required maintenance ECT to sustain a positive therapeutic response.http://dx.doi.org/10.1155/2012/374752 |
| spellingShingle | Beppe Micallef-Trigona Joseph Spiteri Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy Case Reports in Psychiatry |
| title | Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy |
| title_full | Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy |
| title_fullStr | Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy |
| title_full_unstemmed | Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy |
| title_short | Maintenance Electroconvulsive Therapy in a Patient with Treatment-Resistant Paranoid Schizophrenia and Comorbid Epilepsy |
| title_sort | maintenance electroconvulsive therapy in a patient with treatment resistant paranoid schizophrenia and comorbid epilepsy |
| url | http://dx.doi.org/10.1155/2012/374752 |
| work_keys_str_mv | AT beppemicalleftrigona maintenanceelectroconvulsivetherapyinapatientwithtreatmentresistantparanoidschizophreniaandcomorbidepilepsy AT josephspiteri maintenanceelectroconvulsivetherapyinapatientwithtreatmentresistantparanoidschizophreniaandcomorbidepilepsy |