Acute bilateral ECT in a depressed patient with a hip-aztreonam-spacer and subsequent maintenance ECT after prosthesis collocation

被引：0

作者：

Galvez, Veronica ^{[1
,2
]}

de Arriba Arnau, Aida ^{[3
,4
]}

Martinez-Amoros, Erika ^{[5
,6
]}

Ribes, Carmina ^{[7
]}

Urretavizcaya, Mikel ^{[8
]}

Cardoner, Narcis ^{[9
]}

机构：

[1] UNSW, Sch Psychiat, Sydney, NSW 2031, Australia

[2] Black Dog Inst, Therapeut Neurostimulat Grp, Sydney, NSW, Australia

[3] Bellvitge Univ Hosp, Dept Psychiat, Barcelona, Spain

[4] Bellvitge Univ Hosp, Dept Psychiat, Mood Disorders Clin & Res Unit, Barcelona, Spain

[5] Corp Sanitaria Univ Parc Tauli, Dept Psychiat, Salut Mental Parc Tauli, Sabadell, Spain

[6] UAB, IUFPT UAB, Inst Univ Parc Tauli, Sabadell, Spain

[7] Bellvitge Univ Hosp, Dept Anesthesiol, Barcelona, Spain

[8] Univ Barcelona, Bellvitge Biomed Res Inst IDIBELL, CIBERSAM, ECT Unit,Psychiat Dept,Bellvitge Hosp ICS, Barcelona, Spain

[9] Univ Barcelona, Bellvitge Biomed Res Inst IDIBELL, CIBERSAM, Psychiat Dept,Bellvitge Hosp ICS, Barcelona, Spain

来源：

INTERNATIONAL PSYCHOGERIATRICS | 2015年 / 27卷 / 02期

关键词：

electroconvulsive therapy; depression; aged care; physical illness; falls; ELECTROCONVULSIVE-THERAPY; SEIZURE;

D O I：

10.1017/S104161021400235X

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Electroconvulsive Therapy (ECT) has been demonstrated to be a safe and effective treatment for geriatric depression, although its application might be challenging when medical comorbidities exist. The present case reports a 78-year-old man diagnosed with recurrent unipolar major depressive disorder (MDD), who presented with a severe depressive episode with psychotic features (DSM IV). He successfully received a course of bitemporal (BT) ECT with a hip-aztreonam-spacer due to a hip fracture that occurred during hospitalization. This was followed by maintenance ECT (M-ECT) with a recent prosthesis collocation. This particular case illustrates the importance of a multidisciplinary approach in geriatric patients with somatic complications receiving ECT.

引用

页码：343 / 346

页数：4