Ketamine for acute catatonia: A case report

Kobayashi, Brian

doi:10.12788/cp.0132

Cited by 4 publications

(8 citation statements)

References 19 publications

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“…19 There are also a few case reports of the successful use of ketamine infusions in the treatment of catatonia but no larger comparative studies. 13,14 Cobb and Nanda note a lack of high-quality evidence to suggest that ECT with ketamine is superior to ECT with other anaesthetic agents, and they also report limited evidence regarding the superiority of the direct effects of ketamine on depression when compared to ECT. 10 There are a few case reports of liver dysfunction associated with regular recreational ketamine use in HIV-positive men on ART, specifically ritonavir-containing regimes.…”

Section: Discussionmentioning

confidence: 99%

“… 11 , 12 There are also a few case reports suggesting that ketamine may be also an effective alternative treatment for catatonia. 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

“…11,12 There are also a few case reports suggesting that ketamine may be also an effective alternative treatment for catatonia. 13,14 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.…”

Section: Introductionmentioning

confidence: 99%

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Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient

Nel

Bracken

2023

South African Journal of Psychiatry

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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.

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Section: Discussionmentioning

confidence: 99%

“… 11 , 12 There are also a few case reports suggesting that ketamine may be also an effective alternative treatment for catatonia. 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient

Nel

Bracken

2023

South African Journal of Psychiatry

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“…Originally considered a catatonia-inducing drug, recent advances in knowledge around the role of glutamate and NMDA receptor activity in catatonia have pointed to ketamine as a promising treatment ( 11 ). However, few studies to date have investigated its use in catatonia.…”

Section: Introductionmentioning

confidence: 99%

“…However, few studies to date have investigated its use in catatonia. Only two case studies have been published that describe the use of ketamine in catatonic subjects; both presenting promising findings ( 11 , 12 ). The current paper presents the case studies of two patients with bipolar disorder (BD) presenting with catatonic depression, describing their successful treatment with ketamine.…”

Section: Introductionmentioning

confidence: 99%

Ketamine as an alternative to ECT in catatonia in elderly women with bipolar disorder: A case report

et al. 2023

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The following paper described two cases of patients with catatonic depression in bipolar disorder (BD) referred to our electroconvulsive therapy (ECT) service. Both were deemed not medically fit for ECT, and were, instead, treated with intravenous (IV) ketamine. Both responded with a resolution of symptoms, returning to baseline level of functioning. During the COVID-19 pandemic, given the risks associated with providing ECT (an aerosol generating procedure) and, in the context of limited resources, ketamine therapy for catatonia is a potentially beneficial alternative or supportive treatment to ECT that merits additional research.

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Ketamine as an Induction Agent in Electroconvulsive Therapy for Catatonia Not Responding to Electroconvulsive Therapy Alone: A Case Report

Perusinghe,

Chakravarthy,

John

2023

Australas Psychiatry

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Ketamine for acute catatonia: A case report

Cited by 4 publications

References 19 publications

Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient

Electroconvulsive therapy (ECT) with ketamine induction for catatonia in an HIV positive patient

Ketamine as an alternative to ECT in catatonia in elderly women with bipolar disorder: A case report

Ketamine as an Induction Agent in Electroconvulsive Therapy for Catatonia Not Responding to Electroconvulsive Therapy Alone: A Case Report

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