Achieving stable remission with maintenance electroconvulsive therapy in a patient with treatment-resistant schizophrenia: A case report.

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

Medicine

authors

Moeller S,Kalkwarf N,Lücke C,Ortiz D,Jahn S,Först C,Braun N,Philipsen A,Müller HHO

doi

10.1097/MD.0000000000008813

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

e8813

issue

48

eissn

0025-7974

issn

1536-5964

pii

00005792-201712010-00040

journal_volume

96

pub_type

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