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Electroconvulsive treatment in Parkinson's disease and psychosis: A case report

Published online by Cambridge University Press:  23 March 2020

T. Aparicio Reinoso  and
S. Gonzalez Parra
S. Gonzalez Parra
Affiliation:
Hospital Dr. R Lafora, Psychiatry, Madrid, Spain

Abstract

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Background

Drug induced parkinsonism is a common side effect.

Objective

The present report describes the case of a schizophrenic patient who developed a parkinsonism after receiving antipsychotic drugs and who had improved his schizophrenia and parkinsonism after electrovulsive therapy.

Case summary

We report the case of a man, who is 35 years old and was admitted to a psychiatric ward, due to decompensated schizophrenia with psychotic features. The patient developed pronounced parkinsonian features, which did not improve with discontinuation of the drug or with carbidopa/levodopa. After several unsuccessful treatments, the patient was treated with ECT and showed improvement in both diseases.

Results

The patient's response to this treatment justifies the use of ECT in patients with both syndromes: a psychosis productive and Parkinson's disease. Even the maintenance therapy can establish the initial response achieved and keep it through time. We should keep in mind that the management of these patients, can be extremely difficult because the medications used to both disorders are antagonistic.

Conclusion

ECT can be considered in patients with a psychiatric illness associated with parkinsonism.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV1134
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S572 - S573
Copyright
Copyright © European Psychiatric Association 2016

References

Further readings

Popeo, D, Kellner, CH. ECT for Parkinson's disease. Med Hypotheses 2009;73:468–9.CrossRefGoogle ScholarPubMed
Haryan, P, Adams, CE. Terapia electroconvulsiva para la esquizofrenia (Cochrane Review). La Biblioteca Cochrane Plus, número 3, 2008. Oxford, Update Software Ltd. http://www.updatesoftware.com [Translated by The Cochrane Library, Issue. Chichester, UK: John Wiley & Sons, Ltd].Google Scholar
American Psychiatric Association. Andersen, K, Balldin, J, Gottfries, CG, et al. A double-blind ealuation of electroconvulsive therapy in Parkinson's disease with “on-off” phenomena. Acta Neurol Scand 1987;76:191–9.CrossRefGoogle Scholar
Fink, M. ECT for Parkinson’disease? (Editorial) Convul Ther 1988;4:189–91.Google Scholar
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