| Autor: |
Bumči, Bruno, Pašić, Hanna, Edl, Mia, Čolaković, Lucija, Botica, Antun |
| Předmět: |
|
| Zdroj: |
Lijecnicki Vjesnik; 2023 Supplement, Vol. 145, p64-64, 1/2p |
| Abstrakt: |
INTRODUCTION/OBJECTIVES: Electroconvulsive therapy (ECT) is a medical treatment in which the patient’s brain is briefly electrically stimulated under anesthesia to induce a brief seizure. ECT is usually used when other treatments haven’t worked. Although it is primarily used to treat patients with major depression, patients with other disorders may also benefit. CASE PRESENTATION: The patient had been under psychiatric treatment since the 1990s with a diagnosis of hypochondriacal disorder and recurrent depressive disorder. The patient has been hospitalised at our clinic several times. This hospitalization, the patient was admitted to the department for intensive psychiatric treatment, where he was continuously observed and treated psychopharmacotherapeutically with titration of drug doses. After stabilization of the psychophysical condition, the patient was transferred to the department of Biological Psychiatry and Psychopharmacology, where he is included in psychosocial dynamic treatment programs. After diagnostic procedure according to the ECT protocol, signed informed consent and approval of the ethics committee, bilateral ECT with the “Thymatron System IV” was applied under general anesthesia on eight occasions.Ultrashort pulse stimuli were used. The power required to reach the neuromodulatory threshold was 15-40%. During each ECT application, spike-wave complexes of 5 to 80 seconds in duration were recorded by EEG. The patient was discharged home in a compensated psychophysical state, continuing regular psychopharmacotherapy. CONCLUSION: This case demonstrates that ECT can be highly effective in treating episodes of severe mental illness, but that it does not prevent recurrence in the future. Therefore, most people treated with ECT need to receive some type of maintenance therapy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
