Acute bilateral ECT in a depressed patient with a hip-aztreonam-spacer and subsequent maintenance ECT after prosthesis collocation. (10th November 2014)

• Record Type: Journal Article
• Authors: Gálvez, Verònica; de Arriba Arnau, Aida; Martínez-Amorós, Erika; Ribes, Carmina; Urretavizcaya, Mikel; Cardoner, Narcís
• Is Part Of: International psychogeriatrics. Volume 27:Number 2(2015:Feb.)
• Page Start: 343
• Page End: 346
• Publication Date: 2014-11-10
• Subjects: electroconvulsive therapy, -- depression, -- aged care, -- physical illness, -- falls; Geriatric psychiatry -- Periodicals; 618.9768905
• DOI: 10.1017/S104161021400235X
• Languages: English
• ISSNs: 1041-6102

Abstract

ABSTRACT: Electroconvulsive Therapy (ECT) has been demonstrated to be a safe and effective treatment for geriatric depression, although its application might be challenging when medical comorbidities exist. The present case reports a 78-year-old man diagnosed with recurrent unipolar major depressive disorder (MDD), who presented with a severe depressive episode with psychotic features (DSM IV). He successfully received a course of bitemporal (BT) ECT with a hip-aztreonam-spacer due to a hip fracture that occurred during hospitalization. This was followed by maintenance ECT (M-ECT) with a recent prosthesis collocation. This particular case illustrates the importance of a multidisciplinary approach in geriatric patients with somatic complications receiving ECT.