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Acute and Maintenance Electroconvulsive Therapy for Treatment of Severely Disabling Obsessive-Compulsive Symptoms in a Patient With Asperger Syndrome

Nilsson, Björn M. MD, PhD; Ekselius, Lisa MD, PhD

doi: 10.1097/YCT.0b013e31819746bc
Case Reports

We report successful treatment with electroconvulsive therapy of a comorbid condition including severe obsessive-compulsive symptoms and hypochondriacal delusions in a 38-year-old man with Asperger syndrome. His condition deteriorated into a severely disabled chronic state that was refractory to different pharmacological and psychological treatments but was completely reversed after electroconvulsive therapy. Although typical obsessive-compulsive symptoms were predominant, the case also exhibits differences compared with regular obsessive-compulsive disorder regarding onset and course that are discussed in the report.

From the Department of Neuroscience, Psychiatry, Uppsala University Hospital, Uppsala, Sweden.

Received October 20, 2008; accepted December 1, 2008.

Reprints: Björn M. Nilsson, MD, Department of Neuroscience, Psychiatry, Uppsala University Hospital, Ullerakers vag 21, SE 750 17 Uppsala, Sweden (e-mail: bjorn.nilsson@neuro.uu.se).

© 2009 Lippincott Williams & Wilkins, Inc.