Ueda Masashi, Konishi Yuki, Sakurai Kohei, Ikenouchi Atsuko, Yoshimura Reiji
Department of Psychiatry, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi, Kitakyushu, Fukuoka 807-8555, Japan.
Case Rep Psychiatry. 2020 Dec 5;2020:8818553. doi: 10.1155/2020/8818553. eCollection 2020.
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.
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。