Suppr超能文献

电休克治疗对合并重度抑郁症的神经性疼痛的疗效

Efficacy of Electroconvulsive Therapy for Neuropathic Pain Comorbid with Major Depression.

作者信息

Ueda Masashi, Konishi Yuki, Sakurai Kohei, Ikenouchi Atsuko, Yoshimura Reiji

机构信息

Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi, Kitakyushu, Fukuoka 807-8555, Japan.

出版信息

Case Rep Psychiatry. 2020 Dec 5;2020:8818553. doi: 10.1155/2020/8818553. eCollection 2020.

Abstract

We report a case of a 41-year-old male with postinjury neuropathic pain comorbid with major depression in which electroconvulsive therapy (ECT) was effective in relieving both neuropathic pain and major depression. A total of 12 sessions of bilateral ECT were performed using a Thymatron® (Somatics LLC; Lake Bluff, IL). After ECT, the patient was subsequently maintained on paroxetine, eszopiclone (2 mg/day), and alprazolam. There was no relapse for at least one year after the last ECT. This case indicates that ECT might be an alternative treatment for major depression associated with chronic neuropathic pain after traumatic injury.

摘要

我们报告一例41岁男性,患有创伤后神经性疼痛并伴有重度抑郁症,其中电休克疗法(ECT)有效地缓解了神经性疼痛和重度抑郁症。使用Thymatron®(Somatics LLC;伊利诺伊州莱克布拉夫)进行了总共12次双侧ECT治疗。ECT治疗后,患者随后持续服用帕罗西汀、艾司佐匹克隆(2毫克/天)和阿普唑仑。最后一次ECT治疗后至少一年未复发。该病例表明,ECT可能是创伤性损伤后与慢性神经性疼痛相关的重度抑郁症的一种替代治疗方法。

相似文献

1
Efficacy of Electroconvulsive Therapy for Neuropathic Pain Comorbid with Major Depression.
Case Rep Psychiatry. 2020 Dec 5;2020:8818553. doi: 10.1155/2020/8818553. eCollection 2020.
2
When to switch from bilateral to unilateral electroconvulsive therapy: A simple way to elicit seizures in high seizure threshold cases.
Neuropsychopharmacol Rep. 2019 Mar;39(1):36-40. doi: 10.1002/npr2.12039. Epub 2018 Nov 16.
6
A case-matching study of the analgesic properties of electroconvulsive therapy.
Pain Med. 2004 Mar;5(1):50-8. doi: 10.1111/j.1526-4637.2004.04006.x.
8
Electroconvulsive Therapy in the Treatment of Mood Disorders: One-Year Follow-up.
Noro Psikiyatr Ars. 2017 Sep;54(3):196-201. doi: 10.5152/npa.2016.14845. Epub 2016 Jul 15.
9
ECT non-remitters: prognosis and treatment after 12 unilateral electroconvulsive therapy sessions for major depression.
J Affect Disord. 2020 Jul 1;272:501-507. doi: 10.1016/j.jad.2020.03.134. Epub 2020 Apr 29.
10
Electroconvulsive therapy vs. paroxetine in treatment-resistant depression -- a randomized study.
Acta Psychiatr Scand. 1997 Nov;96(5):334-42. doi: 10.1111/j.1600-0447.1997.tb09926.x.

本文引用的文献

2
[Electroconvulsive therapy].
Ugeskr Laeger. 2018 Aug 6;180(32).
3
Neuropathic pain.
Nat Rev Dis Primers. 2017 Feb 16;3:17002. doi: 10.1038/nrdp.2017.2.
4
Electroconvulsive therapy treatment in patients with somatic symptom and related disorders.
Neuropsychiatr Dis Treat. 2015 Oct 6;11:2565-72. doi: 10.2147/NDT.S90969. eCollection 2015.
5
Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis.
Lancet Neurol. 2015 Feb;14(2):162-73. doi: 10.1016/S1474-4422(14)70251-0. Epub 2015 Jan 7.
6
Relapse following successful electroconvulsive therapy for major depression: a meta-analysis.
Neuropsychopharmacology. 2013 Nov;38(12):2467-74. doi: 10.1038/npp.2013.149. Epub 2013 Jun 18.
7
An fMRI-based neurologic signature of physical pain.
N Engl J Med. 2013 Apr 11;368(15):1388-97. doi: 10.1056/NEJMoa1204471.
9
Pain thresholds during and after treatment of severe depression with electroconvulsive therapy.
Eur J Pain. 2004 Oct;8(5):487-93. doi: 10.1016/j.ejpain.2003.11.015.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验