The Journal of ECT

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Journal of ECT:
doi: 10.1097/YCT.0b013e31822e581e
Case Reports

Improvement of Asymmetrical Temporal Blood Flow in Refractory Oral Somatic Delusion After Successful Electroconvulsive Therapy

Uezato, Akihito MD, PhD*†‡; Yamamoto, Naoki MD, PhD*; Kurumaji, Akeo MD, PhD*; Toriihara, Akira MD, PhD§; Umezaki, Yojiro DDS; Toyofuku, Akira DDS, PhD; Nishikawa, Toru MD, PhD*

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Abstract: Oral cenesthopathy is a somatic delusion in the oral area and categorized as delusional disorder, somatic type. Patients experience unusual and annoying sensations in the mouth such as pulling on the teeth, moving teeth, overly secreting mucus, tingling and pain, and so on, without a somatic base. The condition is usually treatment-resistant and impairs patients’ quality of life. We report a case of oral cenesthopathy successfully treated with the modified electroconvulsive therapy, who demonstrated altered regional cerebral blood flow before and after the treatment detected by single-photon emission computed tomography.

© 2012 by Lippincott Williams & Wilkins


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