| Autor: |
Spear, Jon, Ranger, Maya, Herzberg, Joe |
| Předmět: |
|
| Zdroj: |
International Journal of Geriatric Psychiatry; Aug1997, Vol. 12 Issue 8, p791-794, 4p |
| Abstrakt: |
Objective . To describe the treatment and outcome of organic stupor associated with MRI evidence of cerebrovascular disease. Design . A case series of three patients. Setting . An urban mental health of the elderly service in southeast London. Patients . Aged 69 years, 72 years and 78 years. Two had organic catatonic disorder and the third organic depressive disorder. Interventions . Diazepam, carbamazepine, antidepressants or electroconvulsive therapy (ECT). Main outcome measures . Resolution of symptoms and discharge from hospital. Results . Symptoms resolved between 1 and 10 days. All patients were able to return home but relapsed over the following 12 months. One relapse occurred when a patient stopped diazepam and moclobemide. Conclusions . It is proposed that the initial treatment of organic stupor associated with cerebrovascular disease should include a benzodiazepine or carbamazepine. If patients fail to respond then ECT should be considered. The safety of ECT is not known, when treating patients with depressive disorder associated with cerebrovascular disease. © 1997 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Plný text