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Electroconvulsive Treatment for a Patient With Psychotic Depression and Inclusion Body Myositis

Ntatsaki, Eleana MBBS*; D'Mello, Oswald FRCA; Lewis, Julia MBBS*; Underwood, Benjamin R. MRCPsych*; Smith, Myles FRCA; Head, Laura MRCPsych*

doi: 10.1097/YCT.0b013e31817e0ef6
Case Reports

A patient with inclusion body myositis (IBM) and psychotic depression required inpatient psychiatric care. The patient's mental and physical health continued to deteriorate despite maximal treatment with medication. After careful consideration and psychiatric, neurological, and anesthetic review, electroconvulsive therapy was initiated. We present, what is to our knowledge, the first documented case of a patient with inclusion body myositis requiring a course of electroconvulsive therapy for psychotic depression.

From the *Department of Old Age Psychiatry, Redwald Unit, St Clement's Hospital and †Department of Anaesthesia, Ipswich Hospital, Ipswich, Suffolk, UK.

Received for publication March 13, 2008; accepted date April 28, 2008.

Reprints: Eleana Ntatsaki, MBBS, Ipswich Hospital, Heath Rd, Ipswich, IP4 5 PD, UK (e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.