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Electroconvulsive Therapy for the Treatment of Organic Catatonia Due to Viral Encephalitis

Shukla, Lekhansh MBBS; Narayanaswamy, Janardhanan C. MD; Gopinath, Srinath DPM; Math, Suresh Bada MD, PGDMLE, PGDHRL

doi: 10.1097/YCT.0b013e31824e9228
Online Articles

Abstract: Catatonia is a common presentation to psychiatric services in developing countries. Medical causes of catatonia are common and are difficult to treat. A 20-year-old woman presented with an acute illness consisting of fever, delirium, perceptual abnormalities, and catatonic state. After trials with antiviral medications, benzodiazepines, and atypical antipsychotic medications, she was treated with 6 sessions of electroconvulsive therapy with complete recovery and no complications. Catatonia arising in the background of organic pathology can be treated on similar lines as in other psychiatric disorders. Electroconvulsive therapy can be a safe option that needs consideration in such cases after ruling out the contraindications.

From the Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India.

Received for publication October 14, 2011; accepted November 4, 2011.

Reprints: Janardhanan C. Narayanaswamy, MD, Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India (e-mail: jairamnimhans@gmail.com).

The authors have no conflict of interest to declare.

© 2012 by Lippincott Williams & Wilkins