Lee Jae, Arcand Laura, Narang Puneet, Lippmann Steven
Dr. Lee is Resident Physician, Hennepin-Regions Psychiatry Program, Minneapolis-St. Paul, Minneapolis; Ms. Arcand is physician assistant student, Augsburg College, Minneapolis, Minneapolis; Dr. Narang is Staff Physician, ECT Psychiatrist, Regions Hospital, Minneapolis-St. Paul, Minnesota; and Dr. Lippmann is Professor of Psychiatry, University of Louisville School of Medicine, Louisville, Kentucky.
Innov Clin Neurosci. 2014 Nov-Dec;11(11-12):27-9.
Electroconvulsive therapy can induce mania. A recent change in the Diagnostic and Statistical Manuel of Mental Disorders, Fifth Edition classifies electroconvulsive therapy-induced manic episodes as a bipolar type I diagnosis. There are no current established guidelines to treat such condition. The following clinical vignette describes a vignette in which a manic episode occurred following electroconvulsive therapy treatment. This case report examines the potential benefit of prescribing mood stabilizers during the acute episode and for maintenance care.
电休克治疗可诱发躁狂。《精神疾病诊断与统计手册(第五版)》最近的一项修订将电休克治疗诱发的躁狂发作归类为双相I型诊断。目前尚无治疗此类病症的既定指南。以下临床案例描述了一例在接受电休克治疗后发生躁狂发作的情况。本病例报告探讨了在急性发作期及维持治疗期间开具心境稳定剂的潜在益处。