Occurence of ultra-rapid cycling during electroconvulsive therapy in bipolar depression

Autor:	Maxim Zavorotnyy, Andreas Behnken, Julia Diemer, Peter Zwanzger, Julia Patzelt
Rok vydání:	2009
Předmět:	Light therapy medicine.medical_specialty Pediatrics Bipolar Disorder Lithium (medication) medicine.medical_treatment behavioral disciplines and activities chemistry.chemical_compound Electroconvulsive therapy Lithium Carbonate Recurrence mental disorders medicine Humans Bipolar disorder Psychiatry Electroconvulsive Therapy Biological Psychiatry Aged Depressive Disorder Major Lithium carbonate medicine.disease Psychiatry and Mental health Sleep deprivation Mood chemistry Antidepressant Female medicine.symptom Drug Monitoring Psychology medicine.drug Antipsychotic Agents
Zdroj:	The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry. 10(4 Pt 3)
ISSN:	1814-1412
Popis:	Treatment of bipolar depression with antidepressants has often been reported to be associated with a certain risk of rapid cycling (RC). Also, non-pharmacological treatment approaches such as sleep deprivation or light therapy can induce affective shifts. Moreover, during electroconvulsive therapy (ECT), which is considered a powerful antidepressant treatment, manic switches and episodes of rapid cycling can occur.Here we report the case of a 66-year-old female patient with bipolar depression, who underwent electroconvulsive therapy because of a therapy-refractory depressive episode.During ECT, highly frequent mood alternations were observed, fulfilling the criteria of ultra rapid cycling (URC). These symptoms were successfully treated with lithium carbonate while ECT was continued.To our knowledge, this is the first case report of URC during ECT. URC might be considered a rare but potential side effect of ECT. In our case, lithium was used successfully for the treatment of URC and might be suggested in similar cases, where anticonvulsants are not the first choice of treatment. However, in view of the risk of cognitive side effects the combination of ECT and lithium requires a careful clinical monitoring.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::116ce2fe23646a8e97cadf80b98f2791 https://pubmed.ncbi.nlm.nih.gov/19172530 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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