Successful use of continuation electroconvulsive therapy in a case of late-onset Leonhard's confusion psychosis.
A 56-year-old married woman with late-onset Leonhard's confusion psychosis was treated successfully with acute electroconvulsive therapy (ECT) after failing to respond to antidepressants, neuroleptics, and benzodiazepines. Symptoms relapsed within 1 year despite the combined use of olanzapine and paroxetine. The patient responded to a second course of acute ECT, but a second relapse occurred within 3 months despite her use of olanzapine and paroxetine. The symptoms resolved with continuation ECT and lithium combined with paroxetine after response to a third course of acute ECT. To date, relapse has been prevented for 2 years. Continuation ECT and lithium combined with paroxetine after response to acute ECT may be effective in maintaining remission of Leonhard's confusion psychosis.
Suzuki
Kazumasa
K
Department of Psychiatry, Tohoku University Hospital, Seiryo-machi, Sendai, Japan. kazumasa-tohoku@umin.ac.jp
Awata
Shuichi
S
Suzuki
Junpei
J
Iwasaki
Hitoshi
H
Takano
Takehisa
T
Matsuoka
Hiroo
H
D003221:Confusion / Q000628:therapy; D004565:Electroconvulsive Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011618:Psychotic Disorders / Q000628:therapy*; D012008:Recurrence