Electroconvulsive therapy of depression in Alzheimer's disease. Acase presentation of acute and maintenance electroconvulsive therapy


Dag Årsland
Bok Engelsk 1996
Utgitt
1996
Omfang
Side 169- 173
Opplysninger
Depression and other neuropsychiatric symptoms are frequentlyreported in patients with dementia. These symptoms may seriouslycompromise the function and quality of life of demented patients.Both biologic and behavioral strategies are necessary in dealing withthese problems. This article documents the efficacy ofelectroconvulsive therapy (ECT) in a 67-year-old woman with early-onset Alzheimer's disease. She developed severe depression that didnot respond to drug therapy. Unilateral ECT was immediatelyeffective, and she was given maintenance therapy with paroxetine. Twopost-ECT relapses were effectively treated with further ECT series,and maintenance ECT was the most efficient prophylactic treatment. Itis recommended that ECT is prescribed for demented patients withtreatment refractory, severe depression.
Emner

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