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Effectiveness of Electroconvulsive Therapy for Drug-Induced Parkinsonism in the Elderly

Sadananda, Suneetha K. MBBS; Holla, Bharath MBBS; Viswanath, Biju MD; Narasimha, Aniruddh MBBS; Sebastian, Ami MD; Math, Suresh B. MD; Chandrashekar, Channapatna R. MD

doi: 10.1097/YCT.0b013e3182611563
Online Articles

Abstract: Drug-induced parkinsonism (DIP) is the second most common cause of parkinsonism in the elderly after idiopathic Parkinson disease. We report the case of an elderly man who had long-standing paranoid schizophrenia and DIP; both sets of symptoms improved with a course of 8 bilateral electroconvulsive therapies (ECTs). Improvement in DIP was maintained for 6 months, despite stopping ECTs. The role of ECT in DIP needs more systematic evaluation. Electroconvulsive therapy may be useful for elderly individuals with both psychotic symptoms and parkinsonism, which does not respond to conventional treatment regimes.

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

Received for publication March 25, 2012; accepted May 21, 2012.

Reprints: Biju Viswanath, MD, Senior Resident, Department of Psychiatry National Institute of Mental Health and Neuro Sciences Bangalore- 560029, India (e-mail: bijuv1@gmail.com).

The authors have no conflicts of interest or financial disclosures to report.

© 2013 Lippincott Williams & Wilkins, Inc.