Successful use of continuation electroconvulsive therapy in a case of late-onset Leonhard's confusion psychosis

Kazumasa Suzuki, Shuichi Awata, Junpei Suzuki, Hitoshi Iwasaki, Takehisa Takano, Hiroo Matsuoka

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

A 56-year-old married woman with late-onset Leonhard's confusion psychosis was treated successfully with acute electrocon-vulsive therapy (ECT) after failing to respond to antidepressants, neuroleptics, and benzodiazepines. Symptoms relapsed within 1 year despite the combined use of olanzapine and paroxetine. The patient responded to a second course of acute ECT, but a second relapse occurred within 3 months despite her use of olanzapine and paroxetine. The symptoms resolved with continuation ECT and lithium combined with paroxetine after response to a third course of acute ECT. To date, relapse has been prevented for 2 years. Continuation ECT and lithium combined with paroxetine after response to acute ECT may be effective in maintaining remission of Leonhard's confusion psychosis.

Original languageEnglish
Pages (from-to)251-252
Number of pages2
JournalJournal of ECT
Volume21
Issue number4
DOIs
Publication statusPublished - 2005 Dec

Keywords

  • Catatonia
  • Confusion
  • Continuation ECT
  • Electroconvulsive therapy
  • Late-onset
  • Leonhard
  • Lithium

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

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