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Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient
INTRODUCTION: The successful use of ECT as treatment for catatonia, in the context of HIV (human immunodeficiency virus) infection, has been described previously. Ketamine has been used as an anaesthetic induction agent for ECT, although not considered the induction agent of choice. There are also c...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AOSIS
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9900278/ https://www.ncbi.nlm.nih.gov/pubmed/36756540 http://dx.doi.org/10.4102/sajpsychiatry.v29i0.1944 |
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author | Nel, Yvette Bracken, Craig A. |
author_facet | Nel, Yvette Bracken, Craig A. |
author_sort | Nel, Yvette |
collection | PubMed |
description | INTRODUCTION: The successful use of ECT as treatment for catatonia, in the context of HIV (human immunodeficiency virus) infection, has been described previously. Ketamine has been used as an anaesthetic induction agent for ECT, although not considered the induction agent of choice. There are also case reports suggesting that ketamine may be an alternative treatment specifically for catatonia. PATIENT PRESENTATION: This case report describes the management of a female patient who presented with catatonia, evidenced by stupor, waxy flexibility, mutism, negativism, and stereotypy, as well as stage four HIV infection, with poor response to previous psychotherapeutic interventions. MANAGEMENT AND OUTCOME: We describe the course of management of this patient with ECT, following poor initial clinical response to ECT with propofol induction, the subsequent use of ketamine as an anaesthetic induction agent for ECT, with associated improvement in seizure quality, and good overall clinical response to ECT demonstrated thereafter. CONCLUSION AND CONTRIBUTIONS: This case report suggests that ketamine may be a viable induction agent for ECT in this clinical setting. |
format | Online Article Text |
id | pubmed-9900278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | AOSIS |
record_format | MEDLINE/PubMed |
spelling | pubmed-99002782023-02-07 Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient Nel, Yvette Bracken, Craig A. S Afr J Psychiatr Case Report INTRODUCTION: The successful use of ECT as treatment for catatonia, in the context of HIV (human immunodeficiency virus) infection, has been described previously. Ketamine has been used as an anaesthetic induction agent for ECT, although not considered the induction agent of choice. There are also case reports suggesting that ketamine may be an alternative treatment specifically for catatonia. PATIENT PRESENTATION: This case report describes the management of a female patient who presented with catatonia, evidenced by stupor, waxy flexibility, mutism, negativism, and stereotypy, as well as stage four HIV infection, with poor response to previous psychotherapeutic interventions. MANAGEMENT AND OUTCOME: We describe the course of management of this patient with ECT, following poor initial clinical response to ECT with propofol induction, the subsequent use of ketamine as an anaesthetic induction agent for ECT, with associated improvement in seizure quality, and good overall clinical response to ECT demonstrated thereafter. CONCLUSION AND CONTRIBUTIONS: This case report suggests that ketamine may be a viable induction agent for ECT in this clinical setting. AOSIS 2023-01-30 /pmc/articles/PMC9900278/ /pubmed/36756540 http://dx.doi.org/10.4102/sajpsychiatry.v29i0.1944 Text en © 2023. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. |
spellingShingle | Case Report Nel, Yvette Bracken, Craig A. Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient |
title | Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient |
title_full | Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient |
title_fullStr | Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient |
title_full_unstemmed | Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient |
title_short | Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient |
title_sort | electroconvulsive therapy (ect) with ketamine induction for catatonia in an hiv positive patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9900278/ https://www.ncbi.nlm.nih.gov/pubmed/36756540 http://dx.doi.org/10.4102/sajpsychiatry.v29i0.1944 |
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