Skip Navigation LinksHome > September 2012 - Volume 28 - Issue 3 > Successful Treatment of Co-Occurring Catatonia and Obsessive...
Journal of ECT:
doi: 10.1097/YCT.0b013e318254c2ea
Online Articles

Successful Treatment of Co-Occurring Catatonia and Obsessive-Compulsive Disorder With Concurrent Electroconvulsive Therapy and Benzodiazepine Administration

Makhinson, Michael MD, PhD*†; Furst, Benjamin Albert MD*†; Shuff, Michelle Kristina MD, MPH*; Kwon, Grace Eun DO

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Abstract

Abstract: Catatonia, associated with a variety of medical and psychiatric conditions such as mood disorders and schizophrenia, is frequently treated with either benzodiazepines or with electroconvulsive therapy (ECT) in treatment-resistant cases. Simultaneous treatment with both is usually avoided. Here, we report a case of the use of the benzodiazepine antagonist flumazenil before ECT to facilitate the simultaneous use of lorazepam and ECT for the treatment of co-occurring catatonia and obsessive-compulsive disorder. Both catatonia and obsessive-compulsive disorder symptoms improved in the patient. Physicians should be aware of flumazenil as a clinical tool for use in treatment-resistant cases.

© 2012 by Lippincott Williams & Wilkins

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