Successful Electroconvulsive Therapy for a 74-year-old Female with Major Depressive Disorder and Tardive Tremor: A Case Report and Literature Review

Yeh, Jia-Yin; Chiu, Nan-Tsing; Chang, Yung‐Yee; Lin, Pao‐Yen; Yu, Liang

doi:10.9758/cpn.2020.18.2.331

Cited by 5 publications

(8 citation statements)

References 26 publications

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Section: Tardive Dyskinesiasupporting

confidence: 59%

“…Two other studies analyzed in this systematic review affirmed a positive implication of ECT on tardive dyskinesia [45,46]. A case report examining the efficacy of ECT on a 74-year-old female patient with tardive tremors and major depressive disorder confirmed this impact [45]. The patient, who underwent 10 sessions of ECT to treat major depressive symptoms, reported significant improvement in tardive tremor symptoms.…”

Section: Tardive Dyskinesiasupporting

confidence: 56%

“…The outcome of this systematic review also indicates a positive relationship between ECT and tardive dyskinesia. An analysis of six studies revealed that the therapy improves psychotic, mood, and major depressive symptoms [40][41][42][43][44][45][46]. ECT also leads to a decrease of at least 8 points in the AIMS score [45], although some studies report a 10-point increase or even a more significant improvement [44,46].…”

Section: Discussionmentioning

confidence: 99%

“…An analysis of six studies revealed that the therapy improves psychotic, mood, and major depressive symptoms [40][41][42][43][44][45][46]. ECT also leads to a decrease of at least 8 points in the AIMS score [45], although some studies report a 10-point increase or even a more significant improvement [44,46]. The improvement in the AIMS score is a significant indicator of positive outcomes in a patient's psychotic and mood symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Two cases reported remission followed by recurrence of symptoms after m-ECT was discontinued [40,44]. Three case reports showed a decrease of at least 8 points in the AIMS score [45], with two showing a decrease of 10 or more points [42,46].…”

Section: Tardive Dyskinesiamentioning

confidence: 96%

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Efficacy of Electroconvulsive Therapy for the Treatment of Movement Disorders: A Literature Review

Nazar¹,

Brooks²,

Chatham³

et al. 2023

Cureus

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Electroconvulsive therapy (ECT) is a safe and effective treatment modality for various psychiatric disorders. However, evidence suggests a putative role of ECT in treating movement disorders that are refractory to less invasive modalities. ECT is primarily used in treatment-resistant psychiatric disorders. However, growing evidence exists for its use in movement disorders with and without psychiatric comorbidity.The primary objective of this systematic review was to examine the efficacy of ECT as a primary treatment modality for movement disorders. Relevant, peer-reviewed publications were retrieved from PubMed, SCOPUS, CINAHL, and PsycINFO. Keywords related to ECT and movement disorders were used as search phrases to identify relevant articles. A total of 90 articles that met the inclusion criteria were included in this review. Core findings were subsequently appraised on the role of ECT in treating movement disorders.Inclusion and exclusion criteria were developed to guide the search and selection process. Sources that met the inclusion criteria were those published between 2001 and January 2023. Additionally, peer-reviewed journals published in the English language covering the role of ECT in movement disorders were deemed appropriate for inclusion. Sources published before 2001, written in a non-English language, and not from peer-reviewed journals were excluded from this systematic review. The exclusion criteria also entailed eliminating duplicates from the review list.Most reviewed sources revealed that ECT improved outcomes in symptoms associated with various movement symptoms. However, ECT does not have a long-lasting impact on neuroacanthocytosis symptoms. Additionally, ECT is negatively associated with aggression and agitation, two of the most critical movement symptoms of Alzheimer's disease.Evidence affirms the efficacy of ECT in providing symptomatic relief for movement disorders aside from psychiatric comorbidities. This positive association highlights the need for randomized controlled studies to identify movement disorder sub-populations that may respond to ECT.

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Section: Tardive Dyskinesiasupporting

confidence: 59%