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...

Descripción completa

Detalles Bibliográficos
Autores principales: Tripodi, Beniamino, Carbone, Manuel Glauco, Matarese, Irene, Lattanzi, Lorenzo, Medda, Pierpaolo
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