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A Unique Case of SCN2A Variant-Associated Catatonia and Response to Electroconvulsive Therapy. SCN2A 变异相关性紧张症的独特病例及对电休克疗法的反应。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-05-14 DOI: 10.1097/YCT.0000000000001016
Mark Ainsley Colijn, Tyler Pirlot
{"title":"A Unique Case of SCN2A Variant-Associated Catatonia and Response to Electroconvulsive Therapy.","authors":"Mark Ainsley Colijn, Tyler Pirlot","doi":"10.1097/YCT.0000000000001016","DOIUrl":"10.1097/YCT.0000000000001016","url":null,"abstract":"<p><strong>Abstract: </strong>The SCN2A gene encodes a subunit that forms part of voltage-gated sodium channels in the brain. Gain-of-function mutations are associated with epilepsy as well as numerous movement/motor abnormalities. Loss-of-function mutations may also cause epilepsy in addition to a variety of neurodevelopmental anomalies, including autism and intellectual disability. The occurrence of catatonia has also been described in 1 previous report that involved a 4-year-old boy. We describe a 20-year-old intellectually disabled female patient who developed recurrent catatonic symptoms in her teenage years that remitted with electroconvulsive therapy. This is only the second report of catatonia occurring in relation to an SCN2A mutation and the first involving a female. Moreover, this case is unique given our patient's later age of symptom onset and given that her symptoms responded well to electroconvulsive therapy.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"199-200"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post COVID-19 Major Depressive Disorder and Depersonalization-Derealization Disorder Treated With ECT. Post COVID-19 以电疗法治疗重度抑郁障碍和人格解体-去人格化障碍。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-06-19 DOI: 10.1097/YCT.0000000000001008
Christopher John Damiani, Justin Patrick Meyer, Lauren Warren-Faricy
{"title":"Post COVID-19 Major Depressive Disorder and Depersonalization-Derealization Disorder Treated With ECT.","authors":"Christopher John Damiani, Justin Patrick Meyer, Lauren Warren-Faricy","doi":"10.1097/YCT.0000000000001008","DOIUrl":"10.1097/YCT.0000000000001008","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e15-e16"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Electroconvulsive Therapy in Children and Adolescents With Catatonia-A Case Series. 在患有紧张症的儿童和青少年中使用电休克疗法--病例系列。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-07-31 DOI: 10.1097/YCT.0000000000001052
Reeti Pal, Tiffany Cheng, Sarah Eddington, Subha Subramanian, Michael Wenzinger, Pilar Cristancho
{"title":"Use of Electroconvulsive Therapy in Children and Adolescents With Catatonia-A Case Series.","authors":"Reeti Pal, Tiffany Cheng, Sarah Eddington, Subha Subramanian, Michael Wenzinger, Pilar Cristancho","doi":"10.1097/YCT.0000000000001052","DOIUrl":"10.1097/YCT.0000000000001052","url":null,"abstract":"<p><strong>Background: </strong>Electroconvulsive therapy (ECT) is highly efficacious in catatonia yet remains underutilized in pediatric patients. Practice guidelines recommend bilateral placement in cases with urgent need for response such as catatonia. Because of significantly lower cognitive burden and efficacy (compared to bilateral), right unilateral placement (RUL) is preferred for major depression. Increasing literature shows RUL is effective for catatonia in adults, but its use in catatonic youth is largely unknown.</p><p><strong>Objectives: </strong>The aims of the study are to describe naturalistic outcomes of ECT in pediatric patients with catatonia and to discuss ECT parameter considerations.</p><p><strong>Methods: </strong>This is a retrospective chart review of patients under 18-years of age at Saint Louis Children's Hospital with diagnosis of catatonia who received ECT from 2019 to November 2023. All cases received ECT per clinical protocol. Catatonic symptoms were monitored using the Busch Francis Catatonia Scale. Institutional review board approved the study.</p><p><strong>Results: </strong>Twelve inpatients with debilitating catatonia and a failed benzodiazepine trial underwent ECT. Ten of these 12 patients initiated RUL placement, one received bifrontal, and another bilateral. All patients achieved resolution of catatonia: 6 patients with RUL alone and 4 who started with RUL later switched to bilateral due to nonresponse. The patient receiving bifrontal switched to bilateral due to nonresponse. Patients with malignant catatonia preferentially responded to bilateral placement. Patients experienced expected side effects from ECT.</p><p><strong>Conclusions: </strong>RUL ECT was effective for catatonia in pediatric patients and can be considered as initial placement. A switch to bilateral can be considered in nonresponse, similar to current approach for major depression. For malignant catatonia, bilateral placement remains preferential.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"203-206"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glucagon-Like Peptide-1 Receptor Agonists During Electroconvulsive Therapy: Case Report With Evolving Concerns and Management Considerations. 电休克疗法中的胰高血糖素样肽-1 受体激动剂：病例报告与不断变化的关注点和管理考虑因素。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-02-01 DOI: 10.1097/YCT.0000000000000992
Randall T Espinoza, Zarah Antongiorgi
{"title":"Glucagon-Like Peptide-1 Receptor Agonists During Electroconvulsive Therapy: Case Report With Evolving Concerns and Management Considerations.","authors":"Randall T Espinoza, Zarah Antongiorgi","doi":"10.1097/YCT.0000000000000992","DOIUrl":"10.1097/YCT.0000000000000992","url":null,"abstract":"<p><strong>Abstract: </strong>Glucagon-like peptide-1 receptor agonists are an emerging class of medications transforming the management of diabetes mellitus and obesity, two highly prevalent and chronic medical conditions associated with significant morbidity and posing serious public health concerns. Although generally well tolerated and relatively safe to use, case reports of patients taking these medications while undergoing elective procedures with general anesthesia describe a potential heightened risk of regurgitation and pulmonary aspiration of gastric contents, deriving from the delayed gastric emptying effect of these agents. Based on increased recognition of this risk, the American Society of Anesthesiologists convened a task force to review available data, resulting in the promulgation of a new procedural management guideline for patients on these drugs and undergoing elective procedures with general anesthesia. However, this guideline pertains mostly to procedures and situations that are distinct from electroconvulsive therapy (ECT). This case report describes the experience of a patient on semaglutide, a glucagon-like peptide-1 receptor agonist for obesity, undergoing ECT, provides a general overview of this novel drug class, identifies issues specific to ECT management, and suggests potential adaptations to patient care over different phases of ECT practice.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"207-212"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safety and Treatment Efficacy of Intensified Transcranial Direct Current Stimulation for Posttraumatic Stress Disorder After Sexual Assault: A Case Report. 强化经颅直流电刺激治疗性侵犯后创伤后应激障碍的安全性和疗效：病例报告。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-02-16 DOI: 10.1097/YCT.0000000000000998
Jaber Alizadehgoradel, Zahra Shirani, Seyed Danial Razavi, Maedeh Amini, Mina Taherifard, Georg S Kranz
{"title":"Safety and Treatment Efficacy of Intensified Transcranial Direct Current Stimulation for Posttraumatic Stress Disorder After Sexual Assault: A Case Report.","authors":"Jaber Alizadehgoradel, Zahra Shirani, Seyed Danial Razavi, Maedeh Amini, Mina Taherifard, Georg S Kranz","doi":"10.1097/YCT.0000000000000998","DOIUrl":"10.1097/YCT.0000000000000998","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e13-e15"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safe Delivery of Electroconvulsive Therapy in Postpartum Depression Patient With Type 1 Chiari Malformation: A Case Study. 对患有 1 型奇异畸形的产后抑郁症患者安全实施电休克疗法：病例研究。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-03-12 DOI: 10.1097/YCT.0000000000000999
Shanthi Sarma, Ellen Quinn, Grace Branjerdporn
{"title":"Safe Delivery of Electroconvulsive Therapy in Postpartum Depression Patient With Type 1 Chiari Malformation: A Case Study.","authors":"Shanthi Sarma, Ellen Quinn, Grace Branjerdporn","doi":"10.1097/YCT.0000000000000999","DOIUrl":"10.1097/YCT.0000000000000999","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e10-e11"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maintenance Electroconvulsive Therapy in Catatonia: Clinical Profiles From a Case Series. 卡他性精神障碍的维持性电休克疗法：病例系列的临床概况。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-02-26 DOI: 10.1097/YCT.0000000000001002
Joaquín Gil-Badenes, Anna Giménez-Palomo, Lucía Duque, Gabriel Pujol-Fontrodona, Erika Martínez-Amorós, Miquel Bioque
{"title":"Maintenance Electroconvulsive Therapy in Catatonia: Clinical Profiles From a Case Series.","authors":"Joaquín Gil-Badenes, Anna Giménez-Palomo, Lucía Duque, Gabriel Pujol-Fontrodona, Erika Martínez-Amorós, Miquel Bioque","doi":"10.1097/YCT.0000000000001002","DOIUrl":"10.1097/YCT.0000000000001002","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to conduct a descriptive analysis of the clinical features and treatment responses in 6 patients with catatonia who received maintenance electroconvulsive therapy (ECT).</p><p><strong>Methods: </strong>Our study included all patients who underwent maintenance ECT (mECT) at the Hospital Clínic de Barcelona between September 2020 and September 2022 following a catatonic episode.</p><p><strong>Results: </strong>The study cohort comprised 5 patients with schizophrenia and 1 patient with major depressive disorder. Among patients with schizophrenia, the first catatonic episode occurred several years after their initial paranoid psychotic episode, whereas the patient with depression experienced a rapid progression from the first depressive episode to catatonia. After acute ECT, 4 patients achieved complete symptomatic remission, 1 patient exhibited a partial response, and another maintained a severe catatonic state. Maintenance ECT was indicated because of the high risk of severe relapses. The mean frequency of mECT sessions was 9.83 (SD, 5.60) days. Notably, 66.67% of the patients were concurrently receiving clozapine as part of their pharmacological treatment. Among patients with schizophrenia, mECT sessions could not be extended beyond 7 to 10 days, whereas the depressed patient could space ECT sessions up to 21 days without experiencing a relapse.</p><p><strong>Conclusions: </strong>Maintenance ECT proves to be a safe and well-tolerated strategy for preventing relapses in severe catatonic patients who have previously stabilized with acute ECT. Further research is needed to develop clinical guidelines that define optimal application strategies for mECT in catatonia.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"173-176"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to the Editor: Declaration of a Case of Mutism Who Started to Speak After 16 Years With Electroconvulsive Therapy. 致编辑的信：一例接受电休克疗法 16 年后开始说话的缄默症患者的声明。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-03-20 DOI: 10.1097/YCT.0000000000001013
Feride Nurseli Engel, Özlem Devrim Balaban, Nuran Caglar
{"title":"Letter to the Editor: Declaration of a Case of Mutism Who Started to Speak After 16 Years With Electroconvulsive Therapy.","authors":"Feride Nurseli Engel, Özlem Devrim Balaban, Nuran Caglar","doi":"10.1097/YCT.0000000000001013","DOIUrl":"10.1097/YCT.0000000000001013","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"e16-e17"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Catatonia and Maintenance Electroconvulsive Therapy in a 15-Year-Old Patient With MED13L Haploinsufficiency Syndrome in the Context of Epilepsy Diathesis. 一名 15 岁的 MED13L 单倍体缺失综合征患者在癫痫综合征背景下的紧张症和维持性电休克疗法。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-07-04 DOI: 10.1097/YCT.0000000000001049
H Yavuz Ince, Kerri Neville, Jamarie Geller, Alexander Palffy, Can Beser, Julie Ziobro, Neera Ghaziuddin
{"title":"Catatonia and Maintenance Electroconvulsive Therapy in a 15-Year-Old Patient With MED13L Haploinsufficiency Syndrome in the Context of Epilepsy Diathesis.","authors":"H Yavuz Ince, Kerri Neville, Jamarie Geller, Alexander Palffy, Can Beser, Julie Ziobro, Neera Ghaziuddin","doi":"10.1097/YCT.0000000000001049","DOIUrl":"10.1097/YCT.0000000000001049","url":null,"abstract":"<p><strong>Abstract: </strong>This is the first report of pediatric catatonia syndrome in MED13L haploinsufficiency syndrome. This report describes unique challenges in diagnosis and management of catatonia in rare genetic conditions. The case also illustrates the use of electroconvulsive therapy in patients with epilepsy, epileptic encephalopathy, or other epileptic diathesis and the clinical conundrum in determining the course of maintenance electroconvulsive therapy.</p>","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"201-202"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to "Glucagon-Like Peptide-1 Receptor Agonists During Electroconvulsive Therapy: Case Report With Evolving Concerns and Management Considerations". 回复 "电休克疗法中的胰高血糖素样肽-1 受体激动剂：病例报告及不断变化的关注点和管理考虑因素"。
IF 1.8 4区 医学
Journal of Ect Pub Date : 2024-09-01 Epub Date: 2024-07-09 DOI: 10.1097/YCT.0000000000001053
David Jacobi
{"title":"Reply to \"Glucagon-Like Peptide-1 Receptor Agonists During Electroconvulsive Therapy: Case Report With Evolving Concerns and Management Considerations\".","authors":"David Jacobi","doi":"10.1097/YCT.0000000000001053","DOIUrl":"10.1097/YCT.0000000000001053","url":null,"abstract":"","PeriodicalId":54844,"journal":{"name":"Journal of Ect","volume":" ","pages":"219-220"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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