The authors of this paper do not have any commercial associations that might pose a conflict of interest in connection with this manuscript.
Maintenance electroconvulsive therapy for recurrent refractory mania
Article first published online: 12 MAY 2006
Volume 8, Issue 3, pages 301–303, June 2006
How to Cite
Nascimento, A. L., Appolinario, J. C., Segenreich, D., Cavalcanti, M. T. and Brasil, M. A. A. (2006), Maintenance electroconvulsive therapy for recurrent refractory mania. Bipolar Disorders, 8: 301–303. doi: 10.1111/j.1399-5618.2006.00312.x
- Issue published online: 12 MAY 2006
- Article first published online: 12 MAY 2006
- Received 17 December 2004, revised and accepted for publication 15 August 2005
- bipolar disorder;
- electroconvulsive therapy;
- maintenance electroconvulsive therapy;
- refractory mania
Background: Although there are some reports on the efficacy of maintenance electroconvulsive therapy (mECT) in rapid cycling bipolar disorder there is scant data about the use of mECT in the non-rapid cycling form of this condition.
Patient and methods: We report the case of a 45-year-old man diagnosed with bipolar affective disorder at the age of 32 who had 5 manic episodes in 6 years. These episodes were severe, required hospitalization and had poor response to lithium carbonate, sodium valproate, carbamazepine, haloperidol and chlorpromazine (either alone or in combination). The patient was treated with electroconvulsive therapy (ECT) during his last hospitalization and since then his treatment has included mECT and chlorpromazine (400 mg/day) and he has remained euthymic during the past 21 months.
Conclusion: This case describes the utility of mECT in medication refractory bipolar disorder.