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- Title
Prolonged post‐ECT delirium associated With substance‐induced psychosis: A case report.
- Authors
Köroğlu, Emre; Ayrıbaş, Başar
- Abstract
Electroconvulsive therapy (ECT) is an effective treatment for various psychiatric conditions. Although rare, prolonged post‐ECT delirium is a serious adverse effect of ECT. Various factors, such as underlying brain pathologies, medications, seizure duration, and type of electrode placements play a role in the development of post‐ECT delirium. We report a 56‐year‐old male suffering from 14‐day‐long post‐ECT delirium associated with substance misuse, pesticide exposure, as well as ischemic brain changes. On the basis of the insights from this case, it may be suggested that all patients should be screened for risk factors associated with ECT‐related delirium before ECT and that various parameters, such as electrode placement and medications, should be adjusted accordingly.
- Subjects
RISK of delirium; BRAIN; ELECTRODES; EXECUTIVE function; COGNITION disorders; SUBSTANCE-induced psychoses; ELECTROCONVULSIVE therapy; TREATMENT duration; CLINICS; MAGNETIC resonance imaging; BEHAVIOR therapy; RISK assessment; DRUGS; INTERPERSONAL relations; COMORBIDITY; RARE diseases; VALPROIC acid; PSYCHOTHERAPY; ANTIPSYCHOTIC agents
- Publication
Perspectives in Psychiatric Care, 2022, Vol 58, Issue 4, p3103
- ISSN
0031-5990
- Publication type
Article
- DOI
10.1111/ppc.12943