Rivista di psichiatria · 2012
Life-saving electroconvulsive therapy in a patient with near-lethal catatonia.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Girardi Paolo, Rapinesi Chiara, Cuomo Ilaria, Kotzalidis Giorgio D, Del Casale Antonio, Serata Daniele, Campi Sandra, Caloro Matteo, De Chiara Lavinia, Tamorri Stefano Maria, Scatena Paola, Caccia Federica, Bersani Francesco Saverio, Carbonetti Paolo, Vento Alessandro, Dimitri-Valente Giorgia, Tatarelli Roberto, Fensore Claudio, Ferracuti Stefano, Angeletti Gloria
Аннотация
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 and 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.