ECT in an Adolescent With Schizophrenia and Seizures: Case Report

Electroconvulsive therapy (ECT) has been recognized as an effective treatment option in catatonia, and for prolonged or severe affective episodes and schizophrenia. Response rates vary from 40 to 80% in adolescents. The procedure is safe if the required precautions are undertaken. Nonetheless, ECT r...

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Autores principales:	Anna Gralewicz, Łukasz Świȩcicki, Anna Z. Antosik-Wójcińska, Magdalena Konopko, Iwona Kurkowska-Jastrzȩbska, Halina Sienkiewicz-Jarosz, Łukasz Szostakiewicz, Barbara Remberk
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	ECT seizure early onset schizophrenia (EOS) adolescent case report Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/63b0ca2beb8e4d86b6f4056d6c263b10
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spelling	oai:doaj.org-article:63b0ca2beb8e4d86b6f4056d6c263b102021-11-12T06:54:05ZECT in an Adolescent With Schizophrenia and Seizures: Case Report1664-064010.3389/fpsyt.2021.646466https://doaj.org/article/63b0ca2beb8e4d86b6f4056d6c263b102021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.646466/fullhttps://doaj.org/toc/1664-0640Electroconvulsive therapy (ECT) has been recognized as an effective treatment option in catatonia, and for prolonged or severe affective episodes and schizophrenia. Response rates vary from 40 to 80% in adolescents. The procedure is safe if the required precautions are undertaken. Nonetheless, ECT remains a serious clinical challenge in patients with comorbid seizures. We present a case study of a 17-year-old female student suffering from schizophrenia who was scheduled for ECT due to prior treatment inefficacy. Seizures had occurred a few days before the first ECT session. Nevertheless, the patient received the ECT course, combined with clozapine at 125 mg/day, after neurological diagnosis and treatment modification because the illness became life-threatening. The patient's clinical outcome was satisfactory without any seriously adverse events and further improvements were observed in the mental state following long-term psychosocial treatment at our inpatient unit. A few months later, epilepsy was however diagnosed with probably coexistence of partial seizures and seizure-like events without EEG correlate. Administering ECT in patients with seizure comorbidity was also investigated based on previous research. Data on this is, however, extremely scarce and to the best of our knowledge, the safety and efficacy of using ECT in adolescents with schizophrenia and seizures has yet not to any great extent been discussed in the literature.Anna GralewiczŁukasz ŚwiȩcickiAnna Z. Antosik-WójcińskaMagdalena KonopkoIwona Kurkowska-JastrzȩbskaHalina Sienkiewicz-JaroszŁukasz SzostakiewiczBarbara RemberkFrontiers Media S.A.articleECTseizureearly onset schizophrenia (EOS)adolescentcase reportPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ECT seizure early onset schizophrenia (EOS) adolescent case report Psychiatry RC435-571
spellingShingle	ECT seizure early onset schizophrenia (EOS) adolescent case report Psychiatry RC435-571 Anna Gralewicz Łukasz Świȩcicki Anna Z. Antosik-Wójcińska Magdalena Konopko Iwona Kurkowska-Jastrzȩbska Halina Sienkiewicz-Jarosz Łukasz Szostakiewicz Barbara Remberk ECT in an Adolescent With Schizophrenia and Seizures: Case Report
description	Electroconvulsive therapy (ECT) has been recognized as an effective treatment option in catatonia, and for prolonged or severe affective episodes and schizophrenia. Response rates vary from 40 to 80% in adolescents. The procedure is safe if the required precautions are undertaken. Nonetheless, ECT remains a serious clinical challenge in patients with comorbid seizures. We present a case study of a 17-year-old female student suffering from schizophrenia who was scheduled for ECT due to prior treatment inefficacy. Seizures had occurred a few days before the first ECT session. Nevertheless, the patient received the ECT course, combined with clozapine at 125 mg/day, after neurological diagnosis and treatment modification because the illness became life-threatening. The patient's clinical outcome was satisfactory without any seriously adverse events and further improvements were observed in the mental state following long-term psychosocial treatment at our inpatient unit. A few months later, epilepsy was however diagnosed with probably coexistence of partial seizures and seizure-like events without EEG correlate. Administering ECT in patients with seizure comorbidity was also investigated based on previous research. Data on this is, however, extremely scarce and to the best of our knowledge, the safety and efficacy of using ECT in adolescents with schizophrenia and seizures has yet not to any great extent been discussed in the literature.
format	article
author	Anna Gralewicz Łukasz Świȩcicki Anna Z. Antosik-Wójcińska Magdalena Konopko Iwona Kurkowska-Jastrzȩbska Halina Sienkiewicz-Jarosz Łukasz Szostakiewicz Barbara Remberk
author_facet	Anna Gralewicz Łukasz Świȩcicki Anna Z. Antosik-Wójcińska Magdalena Konopko Iwona Kurkowska-Jastrzȩbska Halina Sienkiewicz-Jarosz Łukasz Szostakiewicz Barbara Remberk
author_sort	Anna Gralewicz
title	ECT in an Adolescent With Schizophrenia and Seizures: Case Report
title_short	ECT in an Adolescent With Schizophrenia and Seizures: Case Report
title_full	ECT in an Adolescent With Schizophrenia and Seizures: Case Report
title_fullStr	ECT in an Adolescent With Schizophrenia and Seizures: Case Report
title_full_unstemmed	ECT in an Adolescent With Schizophrenia and Seizures: Case Report
title_sort	ect in an adolescent with schizophrenia and seizures: case report
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/63b0ca2beb8e4d86b6f4056d6c263b10
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ECT in an Adolescent With Schizophrenia and Seizures: Case Report

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