Abstract:
RATIONALE:Up to one third of all schizophrenic patients are classified as having treatment-resistant schizophrenia (TRS). This subgroup faces remarkable medical and psychosocial damages, and pharmacotherapy is often limited due to nonresponse and/or side effects. Maintenance electroconvulsive therapy (M-ECT) might be effective in TRS. PATIENT CONCERNS:We present a case of a 26-year-old male patient with a TRS. DIAGNOSES:He received a treatment series of ECT sessions and a course of 24 M-ECTs. INTERVENTIONS:The entire treatment was tolerated without significant side effects. OUTCOMES:Moreover, the Psychotic Symptom Rating Scale (PSYRATS) scores for both positive and negative symptoms decreased and remained stable over the course of M-ECT. LESSONS:Because of the remarkable improvement in the negative and positive symptom clusters, we propose systematic examinations in the field of M-ECT in TRS patients. These studies should integrate long-term outcome and tolerance measurements, gaining insight into the optimal duration of treatment for this indication.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Moeller S,Kalkwarf N,Lücke C,Ortiz D,Jahn S,Först C,Braun N,Philipsen A,Müller HHOdoi
10.1097/MD.0000000000008813subject
Has Abstractpub_date
2017-12-01 00:00:00pages
e8813issue
48eissn
0025-7974issn
1536-5964pii
00005792-201712010-00040journal_volume
96pub_type
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