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Journal of ECT:
doi: 10.1097/YCT.0b013e31829e0afa
Case Reports

Catatonia After Deep Brain Stimulation Successfully Treated With Lorazepam and Right Unilateral Electroconvulsive Therapy: A Case Report

Quinn, Davin K. MD*; Rees, Caleb BA; Brodsky, Aaron MD*; Deligtisch, Amanda MD; Evans, Daniel MD*; Khafaja, Mohamad MD*; Abbott, Christopher C. MD*

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Objectives: The presence of a deep brain stimulator (DBS) in a patient who develops neuropsychiatric symptoms poses unique diagnostic challenges and questions for the treating psychiatrist. Catatonia has been described only once, during DBS implantation, but has not been reported in a successfully implanted DBS patient.

Methods: We present a case of a patient with bipolar disorder and renal transplant who developed catatonia after DBS for essential tremor.

Results: The patient was successfully treated for catatonia with lorazepam and electroconvulsive therapy after careful diagnostic workup. Electroconvulsive therapy has been successfully used with DBS in a handful of cases, and certain precautions may help reduce potential risk.

Conclusions: Catatonia is a rare occurrence after DBS but when present may be safely treated with standard therapies such as lorazepam and electroconvulsive therapy.

© 2014 by Lippincott Williams & Wilkins


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