A young woman with bipolar I disorder and comorbid catatonia on enteral nutrition from several months, developed a form of near-lethal catatonia with weight loss, pressure sores, muscle atrophy, electrolyte imbalance, and depression of vital signs. A compulsory treatment was necessary, and informed consent was obtained from her mother for electroconvulsive therapy (ECT). After 7 ECT sessions, the patient recovered and resumed feeding. ECT may save the life of a patient with catatonia provided that legal obstacles are overcome. Clinicians should carefully evaluate patients with near-lethal catatonia, taking into account the risk of pulmonary embolism or other fatal events. The medical-legal issues, which vary across state regulations, should be addressed in detail to avoid unnecessary and potentially harmful delay in intervention.
Life-saving electroconvulsive therapy in a patient with near-lethal catatonia / Girardi, P., Rapinesi, C., Cuomo, I., Kotzalidis, G., DEL CASALE, A., Serata, D., Campi, S., Caloro, M., DE CHIARA, L., Tamorri, S.M., Tamorri, S.M., Scatena, P., Caccia, F., Bersani, F.S., Carbonetti, P., Vento, A., Dimitri-Valente, G., Tatarelli, R., Fensore, C., Ferracuti, S., et al.. - In: RIVISTA DI PSICHIATRIA. - ISSN 0035-6484. - STAMPA. - 47:6(2012), pp. 535-537. [10.1708/1183.13097]
Life-saving electroconvulsive therapy in a patient with near-lethal catatonia
Paolo Girardi;Chiara Rapinesi;Ilaria Cuomo;Georgios Kotzalidis;Antonio Del Casale;Daniele Serata;Sandra Campi;Matteo Caloro;Lavinia De Chiara;Stefano Maria Tamorri;Stefano Maria Tamorri;Paola Scatena;Federica Caccia;Francesco Saverio Bersani;Alessandro Vento;Roberto Tatarelli;Stefano Ferracuti;Gloria Angeletti
2012
Abstract
A young woman with bipolar I disorder and comorbid catatonia on enteral nutrition from several months, developed a form of near-lethal catatonia with weight loss, pressure sores, muscle atrophy, electrolyte imbalance, and depression of vital signs. A compulsory treatment was necessary, and informed consent was obtained from her mother for electroconvulsive therapy (ECT). After 7 ECT sessions, the patient recovered and resumed feeding. ECT may save the life of a patient with catatonia provided that legal obstacles are overcome. Clinicians should carefully evaluate patients with near-lethal catatonia, taking into account the risk of pulmonary embolism or other fatal events. The medical-legal issues, which vary across state regulations, should be addressed in detail to avoid unnecessary and potentially harmful delay in intervention.| File | Dimensione | Formato | |
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