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Journal of ECT:
doi: 10.1097/YCT.0b013e3181c1881f
Case Reports

Electroconvulsive Therapy for Catatonia in Neuropsychiatric Systemic Lupus Erythematosus

Fam, Johnson MBBS, MMed*; Lee, Tih Shih MD, PhD†; Lee, Huei Yen MBBS, MMed*; Ng, Beng Yeong MBBS, MMed*

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Abstract

Neuropsychiatric systemic lupus erythematosus encompasses neurological syndromes of the central, peripheral, and autonomic nervous system and a variety of psychiatric syndromes. Neuropsychiatric systemic lupus erythematosus presenting as catatonia is uncommon, and treatment of this condition is not well defined. Here we describe a case of neuropsychiatric systemic lupus erythematosus with catatonia and our treatment approach focusing on electroconvulsive therapy in conjunction with cyclophosphamide. We also discuss the pathophysiological underpinnings of the condition and the basis for treatment.

© 2010 Lippincott Williams & Wilkins, Inc.

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