title: Acute and maintenance electroconvulsive therapy for treatment of severely disabling obsessive-compulsive symptoms in a patient with Asperger syndrome.
abstract: We report successful treatment with electroconvulsive therapy of a comorbid condition including severe obsessive-compulsive symptoms and hypochondriacal delusions in a 38-year-old man with Asperger syndrome. His condition deteriorated into a severely disabled chronic state that was refractory to different pharmacological and psychological treatments but was completely reversed after electroconvulsive therapy. Although typical obsessive-compulsive symptoms were predominant, the case also exhibits differences compared with regular obsessive-compulsive disorder regarding onset and course that are discussed in the report.
authors.affiliation: Department of Neuroscience, Psychiatry, Uppsala University Hospital, Uppsala, Sweden. bjorn.nilsson@neuro.uu.se
authors.forename: Björn M
authors.initials: BM
authors.lastname: Nilsson
authors.forename: Lisa
authors.initials: L
authors.lastname: Ekselius
mesh_terms: D000328:Adult; D020817:Asperger Syndrome / Q000150:complications* / Q000523:psychology*; D004565:Electroconvulsive Therapy; D006323:Heart Arrest / Q000150:complications; D006801:Humans; D006998:Hypochondriasis / Q000150:complications; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000150:complications / Q000523:psychology / Q000628:therapy*; D016584:Panic Disorder / Q000150:complications / Q000628:therapy