A case series of manic delirium: Life saving treatment for patients in rural areas

Psychiatry research case reports Pub Date : 2023-10-18 DOI:10.1016/j.psycr.2023.100187

Benjamin Kopec , Kelly Ridley

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Abstract

Introduction

Manic delirium is an ill-defined, but serious diagnosis. It is a complex neuropsychiatric syndrome outlined by acute mania with features of delirium not caused by other illness. Research suggests electroconvulsive therapy (ECT) is the gold standard treatment, however this proves difficult in rural locations.

Methods

We describe the cases of four patients with manic delirium admitted to a rural inpatient psychiatric unit between October 2020 and May 2022.

Results

All four patients experienced symptoms of mania and delirium, complicated by urinary retention and reduced oral intake requiring ECT. Symptoms of delirium resolved faster than mania with full resolution of manic delirium occurring within twelve sessions of ECT.

Conclusion

ECT was the definitive treatment in all cases following poor response to medication. Access to ECT should be a priority for rural health services to improve the care of patients with severe mental illness.

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狂躁谵妄病例系列:农村地区患者的救命治疗

躁狂谵妄是一种定义不清但严重的诊断。它是一种复杂的神经精神综合征，以急性躁狂为特征，并具有非其他疾病引起的谵妄。研究表明，电休克疗法(ECT)是黄金标准的治疗方法，但这在农村地区被证明是困难的。方法对2020年10月至2022年5月在某农村精神科住院的4例躁狂谵妄患者的病例进行分析。结果4例患者均出现躁狂症和谵妄症状，并发尿潴留和口服摄入量减少，需要ECT治疗。谵妄症状比躁狂症更快地消退，在12次ECT治疗中出现躁狂性谵妄的完全消退。结论ect是治疗药物不良的最终治疗方法。获得电痉挛疗法应成为农村卫生服务的优先事项，以改善对严重精神疾病患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatry research case reports Medicine and Dentistry (General)

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