| Autor: |
Martin, Michelle, Figiel, Gary, Mattingly, Gregory, Zorumski, Charles F., Jarvis, Michael R., Martin, M, Figiel, G, Mattingly, G, Zorumski, C F, Jarvis, M R |
| Předmět: |
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| Zdroj: |
Journal of Geriatric Psychiatry & Neurology; Jul-Sep1992, Vol. 5 Issue 3, p149-155, 7p |
| Abstrakt: |
Earlier works have documented a high incidence of affective disorders in patients with a history of a cerebrovascular accident (CVA). In general, electroconvulsive therapy (ECT) has been reported to be effective in treating depressed patients with a history of CVA. Recent works have shown that preexisting structural brain changes may predispose patients to develop interictal ECT-induced delirium. However, the incidence of ECT-induced interictal delirium in patients with a history of CVA has not been directly studied. In this pilot study, the authors examined the incidence of ECT-induced interictal delirium in 14 depressed CVA patients compared with 14 elderly depressed controls (without a history of CVA). Interestingly, the overall incidence of delirium was identical in both groups (28.5%). However, consistent with previous works, some patients who had had a recent CVA involving the caudate nucleus appeared more likely to develop delirium. Thirteen of the 14 depressed CVA patients (92%) showed a moderate to significant improvement in their depressive symptoms from ECT. None of the patients developed significant cardiac complications during ECT. (J Geriatr Psychiatry Neurol 1992;5:149–155). [ABSTRACT FROM PUBLISHER] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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