Janakiraman Raguraman, Wildgoose Keith, Seelam Kalyan
Department of Psychiatry, Sheffield Care Trust, S5 7JT, UK.
Ann Gen Psychiatry. 2006 Aug 4;5:10. doi: 10.1186/1744-859X-5-10.
Electro Convulsive Therapy (ECT) is a medical treatment for severe mental illness in which small, carefully controlled electricity is applied to the brain. This electric stimulation is done in conjunction with anesthesia and muscle relaxant medications to produce a mild generalized seizure. This is used to treat a variety of psychiatric disorders. This is most effective in the treatment of severe depression providing a rapid relief. We report and discuss an unusual presentation of a ninety three year old lady with a diagnosis of Major Depressive Disorder, Recurrent, Severe with Psychotic features (296.34) who experienced musical hallucinations whilst she was treated on ECT. Clinically there was an inverse relationship between the biological symptoms of depression and musical hallucination during the ECT management. Though similar reports have never been reported earlier, we noticed a good association between the initiation of ECT and musical hallucination in our patient. The patient stopped experiencing musical hallucinations and improved of her biological symptoms of depression completely after the full course of ECT.
电休克疗法（ECT）是一种用于治疗严重精神疾病的医学治疗方法，即向大脑施加少量经过精心控制的电流。这种电刺激是在麻醉和肌肉松弛药物的配合下进行的，以引发轻度全身性癫痫发作。它被用于治疗各种精神障碍。这在治疗重度抑郁症方面最为有效，能迅速缓解症状。我们报告并讨论了一位93岁女性的不寻常病例，她被诊断为复发性重度抑郁症伴精神病性特征（296.34），在接受ECT治疗时出现了音乐幻觉。临床上，在ECT治疗过程中，抑郁的生物学症状与音乐幻觉之间存在反比关系。虽然此前从未有过类似报告，但我们注意到在我们的患者中，ECT的开始与音乐幻觉之间存在良好关联。在完成整个ECT疗程后，患者停止出现音乐幻觉，并且其抑郁的生物学症状完全改善。
