Cargando…
A Case of Delirious Mania Treated with Electroconvulsive Therapy
(1) Background: Delirious mania is a neuropsychiatric condition characterized by the rapid onset of delirium, psychosis, and mania. Due to the presence of catatonic signs and symptoms, some authors considered this syndrome to be a specific excited catatonia subtype. Usually, delirious mania is respo...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381179/ https://www.ncbi.nlm.nih.gov/pubmed/37511922 http://dx.doi.org/10.3390/life13071544 |
_version_ | 1785080379152007168 |
---|---|
author | Tripodi, Beniamino Carbone, Manuel Glauco Matarese, Irene Lattanzi, Lorenzo Medda, Pierpaolo |
author_facet | Tripodi, Beniamino Carbone, Manuel Glauco Matarese, Irene Lattanzi, Lorenzo Medda, Pierpaolo |
author_sort | Tripodi, Beniamino |
collection | PubMed |
description | (1) Background: Delirious mania is a neuropsychiatric condition characterized by the rapid onset of delirium, psychosis, and mania. Due to the presence of catatonic signs and symptoms, some authors considered this syndrome to be a specific excited catatonia subtype. Usually, delirious mania is responsive to intravenous benzodiazepines (BZDs) or to electroconvulsive therapy (ECT). (2) Methods: In the present study, we describe the case of a 64-year-old woman with a diagnosis of recurrent major depressive disorder. We assessed the severity of the clinical picture and the response to ECT treatment with the Bush–Francis Catatonia Rating Scale (BFCRS). (3) Results: After eleven sessions of ECT, the patient presented a reduced BFCRS total score, with a resolution of the autonomic abnormalities (temperature, respiratory, and heart rate). (4) Conclusions: These data demonstrate how important it is to diagnose this syndrome as soon as possible to set up an effective therapy, avoiding the use of antipsychotic drugs and preventing potentially fatal complications. The initial administration of BZDs IV and the subsequent ECT application, associated with intensive care of life-threatening general medical conditions, guaranteed us a good level of efficacy in obtaining a complete resolution of the clinical picture. |
format | Online Article Text |
id | pubmed-10381179 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103811792023-07-29 A Case of Delirious Mania Treated with Electroconvulsive Therapy Tripodi, Beniamino Carbone, Manuel Glauco Matarese, Irene Lattanzi, Lorenzo Medda, Pierpaolo Life (Basel) Case Report (1) Background: Delirious mania is a neuropsychiatric condition characterized by the rapid onset of delirium, psychosis, and mania. Due to the presence of catatonic signs and symptoms, some authors considered this syndrome to be a specific excited catatonia subtype. Usually, delirious mania is responsive to intravenous benzodiazepines (BZDs) or to electroconvulsive therapy (ECT). (2) Methods: In the present study, we describe the case of a 64-year-old woman with a diagnosis of recurrent major depressive disorder. We assessed the severity of the clinical picture and the response to ECT treatment with the Bush–Francis Catatonia Rating Scale (BFCRS). (3) Results: After eleven sessions of ECT, the patient presented a reduced BFCRS total score, with a resolution of the autonomic abnormalities (temperature, respiratory, and heart rate). (4) Conclusions: These data demonstrate how important it is to diagnose this syndrome as soon as possible to set up an effective therapy, avoiding the use of antipsychotic drugs and preventing potentially fatal complications. The initial administration of BZDs IV and the subsequent ECT application, associated with intensive care of life-threatening general medical conditions, guaranteed us a good level of efficacy in obtaining a complete resolution of the clinical picture. MDPI 2023-07-12 /pmc/articles/PMC10381179/ /pubmed/37511922 http://dx.doi.org/10.3390/life13071544 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Tripodi, Beniamino Carbone, Manuel Glauco Matarese, Irene Lattanzi, Lorenzo Medda, Pierpaolo A Case of Delirious Mania Treated with Electroconvulsive Therapy |
title | A Case of Delirious Mania Treated with Electroconvulsive Therapy |
title_full | A Case of Delirious Mania Treated with Electroconvulsive Therapy |
title_fullStr | A Case of Delirious Mania Treated with Electroconvulsive Therapy |
title_full_unstemmed | A Case of Delirious Mania Treated with Electroconvulsive Therapy |
title_short | A Case of Delirious Mania Treated with Electroconvulsive Therapy |
title_sort | case of delirious mania treated with electroconvulsive therapy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381179/ https://www.ncbi.nlm.nih.gov/pubmed/37511922 http://dx.doi.org/10.3390/life13071544 |
work_keys_str_mv | AT tripodibeniamino acaseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT carbonemanuelglauco acaseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT matareseirene acaseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT lattanzilorenzo acaseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT meddapierpaolo acaseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT tripodibeniamino caseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT carbonemanuelglauco caseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT matareseirene caseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT lattanzilorenzo caseofdeliriousmaniatreatedwithelectroconvulsivetherapy AT meddapierpaolo caseofdeliriousmaniatreatedwithelectroconvulsivetherapy |