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Electroconvulsive Therapy in Parkinsonism with Affective Disorder

Published online by Cambridge University Press:  02 January 2018

Nutan Atre-Vaidya*
Affiliation:
Department of Psychiatry and Behavioral Studies, University of Health Science/The Chicago Medical School
V. Chowdary Jampala
Affiliation:
Department of Psychiatry and Behavioral Sciences, University of Health Sciences/The Chicago Medical School; and VA Medical Center, North Chicago
*
University of Health Sciences/The Chicago Medical School, 3333 Green Bay Road, North Chicago, Illinois 60064, USA

Abstract

The authors report a patient whose Parkinson's disease and mania both responded well to electroconvulsive therapy (ECT) after failing to respond to chemotherapy. The authors review the literature and suggest that ECTis a safe and effective treatment for affective syndromes associated with Parkinsonism. The presence of dementia in these patients appears to be an indicator of poor prognosis. This paper is believed to be the first report of successful use of ECT in mania occurring together with Parkinsonism.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Ananth, J., Slaomr, D. & Kolivakis, T. (1979) Amelioration of drug induced parkinsonism by ECT. American Journal of Psychiatry, 136, 1094.Google Scholar
Asnis, G. (1977) Parkinson's disease, depression and ECT: a review and case study. American Journal of Psychiatry, 134, 191195.Google Scholar
Balldin, J., Eden, S., Granerus, A. K., Modioh, K., Granborg, A., Walinder, J. & Wallin, L. (1980) Electroconvulsive therapy in Parkinson's syndrome with ‘on-off phenomenon. Journal of Neural Transmission, 47, 1121.Google Scholar
Balldin, J., Eden, S., Granerus, A. K., Modioh, K., Granborg, A., Walinder, J., Wallin, L., Granerus, A. K., Lindstedt, G., Modigh, K. & Walinder, J. (1981) Predictors of improvement ato electroconvulsive therapy in parkinsonian patients with on-off symptoms: Journal of Neural Transmission, 52, 199211.Google Scholar
Baruch, P., Jouvent, R., Vindreu, C., Drowillon, C., Widlocker, D. & Acid, Y. (1985) Improvement of parkinsonism in ECT-treated depressed patients: Parkinson's disease or depression related extra-pyramidal disorder? In Abstracts of the IVth World Congress of Biological Psychiatry, Philadelphia.Google Scholar
Brown, G. L., Wilson, W. P. & Green, R. L. (1973) Mental aspects of parkinsonism and their management. In Parkinson's Disease - Rigidity, Akinesia and Behavior, Vol. 2, Selected Communications on the Topic (ed. S. J. Bern). Berne: Verlag Hans Huber. (Cited by Brown, G. L. (1975) Parkinsonism, depression and ECT. American Journal of Psychiatry, 132, 1084).Google Scholar
Dysken, M., Evans, H., Chan, C. H. & Davis, J. M. (1976) Improvement of depression and parkinsonism during ECT. Neuropsychobiology, 2, 8186.Google Scholar
Fromm, G. H. (1959) Observation on the effects of electroshock treatment in patients with parkinsonism. Bulletin of Tulane University, 18, 7173.Google ScholarPubMed
Holoomb, H. H., Sternberg, D. E. & Heninger, G. (1983) Efficancy of electroconvulsive therapy on mood, parkinsonism and tardive dyskinesia in a depressed patient: ECT and dopamine system. Biological Psychiatry, 18, 865873.Google Scholar
Lebensohn, Z. M. & Jenkins, R. B. (1975) Improvement of parkinsonism in depressed patients treated with ECT. American Journal of Psychiatry, 132, 283285.Google Scholar
Levy, L., Savtt, J. & Hodes, M. (1983) Parkinsonism: improvement by electroconvulsive therapy. Archives of Physical Medicine and Rehabilitation, 64, 432433.Google Scholar
Lipper, S. & Bermanzohn, P. C. (1975) Electroconvulsive therapy in patients with parkinsonism. American Journal of Psychiatry, 132, 457.Google ScholarPubMed
McCabe, M. S. (1976) Electroconvulsive therapy in the treatment of mania: a controlled study. American Journal of Psychiatry, 133, 688691.Google Scholar
McCabe, M. S. & Norris, B. (1977) ECT vs. chlorpromazine in mania. Biological Psychiatry, 12, 245254.Google Scholar
Raskin, D. (1985) Can ECT cure Parkinson's disease? Abstracts of new research program, 138th Annual Meeting of the American Psychiatric Association, Dallas. Google Scholar
Small, J. G., Small, I. F., Milstein, V., Kellams, J. J. & Klapper, M. H. (1985) Manic symptoms: an indication for bilateral ECT. Biological Psychiatry, 20, 125134.Google Scholar
Small, J. G., Small, I. F., Milstein, V., Kellams, J. J., Klapper, M. H., Milstein, V., Klapper, M. H., Kellams, J. J., Miller, M. M. & Small, I. F. (1986) Electroconvulsive therapy in the treatment of manic episodes. In Electroconvulsive Therapy: Clinical and Basic Research Issues, Vol. 462 (eds S. Malitz & H. Sackheim). New York: New York Academy of Sciences.Google Scholar
Taylor, M. A. (1982) Indications for electroconvulsive treatment. In ECT: Biological Foundations and Clinical Applications (eds R. Abrams & W. B. Essman) New York: SP Mescal Scientific Books.Google Scholar
Ward, L., Stern, G. M., Pratt, R. T. C. & McKenna, P. (1980) Electroconvulsive therapy in parkinsonian patients with the ‘on-off’ syndrome. Journal of Neural Transmission, 49, 133135.Google Scholar
Wilder, J. (1975) Parkinsonism, depression and ECT (letter to editor). American Journal of Psychiatry, 132, 10831084.Google Scholar
Young, R., Alexopoulos, G. & Shamolan, C. (1985) Dissociation of motor response from mood and cognition in parkinsonian patients treated with ECT. Biological Psychiatry, 20, 566569.CrossRefGoogle ScholarPubMed
Yudofsky, S. (1979) Parkinson's disease, depression, and electroconvulsive therapy: a clinical and neurobiologic synthesis. Comprehensive Psychiatry, 20, 579581.CrossRefGoogle ScholarPubMed
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