Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India.
Asian J Psychiatr. 2024 Nov;101:104206. doi: 10.1016/j.ajp.2024.104206. Epub 2024 Aug 30.
Electroconvulsive therapy (ECT) is considered to be a treatment of choice in patients with catatonia, who do not respond to lorazepam, irrespective of the underlying aetiology. Although, significant data is available for successful use of ECT in patients with catatonia secondary to affective and psychotic disorders, little information is available for use of ECT in organic catatonia.
To assess demographic and clinical profile of patients with organic catatonia receiving ECT.
Using a retrospective study design, ECT register of the department was reviewed for the period of 2019-2023 to identify the patients with organic catatonia, who received ECT. The treatment records of these patients were reviewed to extract the demographic and clinical profile.
During the study period, out of the 926 patients who received ECT, 12 (1.3 %) patients diagnosed with organic catatonia received ECT. The mean age of study sample was 41.67 (SD- 20.68) years and mean number of ECTs given in a course of ECT were 8 (SD- 4.3). In majority of the patients, ECT was considered after the failure of lorazepam challenge test. Majority (75 %) of the patients showed good response to ECT and only 16.67 % of the patients experienced complications during the course of ECT.
ECT is an effective and well-tolerated treatment for organic catatonia.
电抽搐疗法（ECT）被认为是治疗伴有木僵的患者的首选治疗方法，这些患者对劳拉西泮没有反应，无论潜在病因如何。尽管有大量数据表明 ECT 在因情感和精神病性障碍而出现木僵的患者中成功应用，但关于 ECT 在器质性木僵患者中的应用信息较少。
评估接受 ECT 的器质性木僵患者的人口统计学和临床特征。
采用回顾性研究设计，回顾了 2019 年至 2023 年期间该科室的 ECT 登记册，以确定接受 ECT 的器质性木僵患者。对这些患者的治疗记录进行了回顾，以提取人口统计学和临床特征。
在研究期间，在接受 ECT 的 926 名患者中，有 12 名（1.3%）患者被诊断为器质性木僵并接受了 ECT。研究样本的平均年龄为 41.67 岁（标准差-20.68 岁），一个疗程中给予的 ECT 平均次数为 8 次（标准差-4.3 次）。在大多数患者中，在劳拉西泮挑战试验失败后考虑进行 ECT。大多数（75%）患者对 ECT 反应良好，仅 16.67%的患者在 ECT 过程中出现并发症。
ECT 是器质性木僵的有效且耐受良好的治疗方法。
