Citation

Hausn P, Schneider A, Miiller B, Koch HJ. Tagliche Praxis 2013; 54(3): 573-579.

Copyright

(Copyright © 2013)

DOI

unavailable

PMID

unavailable

Abstract

Electroconvulsive therapy (ECT) was established in the 1930s and stiU remains an important alternative in case of psychosis or depression even after inauguration of antipsychotics and antidepressants. Two instructive case reports show that patients may benefit from maintenance ECT (M-ECT). In a 67 year old male suffering from catatonic psychosis since youth and Parkinson disease for 10 years received M-ECTs during 3= years with intervals between 2 and 3 weeks. During M-ECT he was not referred to hospital until severe urinary tract infection lead to a deterioration of his psychosis. In an 81 year old female with schizoaffective psychosis and suicide ideations out-patient treatment was warranted for 2 years by means of M-ECT with intervals of 2 to 3 weeks. Both patients reported a good quality of life continuing their homecare service. All ECT treatments were organized in an out-patient setting and were well tolerated and efficient.

Language: de

Keywords

Catatonic schizophrenia; Maintenance ECT; Schizoaffective psychosis; Electro-convuisive treatment; PARKINSON disease