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Maintenance Electroconvulsive Therapy in a Patient With Multiple System Atrophy and Bipolar Disorder

Obiora, Onwuameze MD, PhD*; McCormick, Laurie May MD*; Karim, Yasser MD; Gonzales, Pedro MD; Beeghly, James MD*

doi: 10.1097/YCT.0b013e31824b64d7
Online Articles

Multiple system atrophy is a rapidly progressive neurodegenerative disorder with no known cure. It is a clinical diagnosis with no confirmation available other than brain biopsy after death. We report the successful treatment of multiple system atrophy co-occurring with bipolar disorder in a 62-year-old man using electroconvulsive therapy.

From the Departments of *Psychiatry, †Anesthesiology, and ‡Neurology, University of Iowa Carver College of Medicine, Iowa City, IA.

Received for publication August 15, 2011; accepted September 1, 2011.

Reprints: Laurie McCormick, MD, Department of Psychiatry, Psychiatric Iowa Neuroimaging Consortium, Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Dr, W278 GH, Iowa City, IA 52242 (e-mail:

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

© 2012 Lippincott Williams & Wilkins, Inc.