An akinetic‐rigid syndrome, depression, and stereotypies in a young man

Abstract

A young man is presented who developed an akinetic-rigid syndrome shortly after a minor illness. Rituals and stereoptypies were prominent. At its most severe he was unable to feed himself. There was no response to L-dopa/cardopa treatment. A course of ECT was followed by a marked improvement in his condition. Attempts to stop ECT for more than a week have led to recurrence of his bradykinesia.

Electroconvulsive Therapy in Movement Disorders: An Update

“…[6][7][8][9][10][11]13,[15][16][17][18][23][24][25][27][28][29] Two retrospective reviews have also been reported. [6][7][8][9][10][11]13,[15][16][17][18][23][24][25][27][28][29] Two retrospective reviews have also been reported.…”

“…14,[19][20][21][22]30 One 14 focused on the incidence of delirium in PD patients receiving ECT, with no comment on the movement disorder. 6,8,10,12,[14][15][16][17][18]25,26 For patients treated with unilateral ECT, 7,[9][10][11][19][20][21][22][23][24][28][29][30] 38 of 44 (86%) demonstrated improvement in motor symptoms. In two additional trials, 19,30 benefits were observed in 16 out of 16 patients and six out of six patients respectively.…”