title: Delirium during the course of electroconvulsive therapy in a patient on lithium carbonate treatment.
abstract: OBJECTIVE
  The safety of concurrent mood stabilizers during the course of electroconvulsive therapy (ECT) is yet to be clearly established. Delirium with concurrent administration of ECT and lithium carbonate is described in this case report.
  
  
  METHODS
  A 30-year-old male with a past history of significant head injury developed delirium during the course of bitemporal ECT.
  
  
  RESULTS
  The clinical picture and the details of the cognitive impairment have been discussed in the report with a focus on relationship between the lithium carbonate administration and the concurrent ECT.
  
  
  CONCLUSIONS
  Patients with preexisting organic brain damage could be prone to develop the cognitive adverse effect while on a combination of lithium and ECT. Possible interactions between lithium and ECT need further systematic evaluation.
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore 560029, India.
authors.forename: Suneetha Karkada
authors.initials: SK
authors.lastname: Sadananda
authors.forename: Janardhanan C
authors.initials: JC
authors.lastname: Narayanaswamy
authors.forename: Ravindra
authors.initials: R
authors.lastname: Srinivasaraju
authors.forename: Suresh Bada
authors.initials: SB
authors.lastname: Math
mesh_terms: D000328:Adult; D018692:Antimanic Agents / Q000009:adverse effects*; D001714:Bipolar Disorder / Q000209:etiology / Q000628:therapy*; D001930:Brain Injuries / Q000150:complications; D003131:Combined Modality Therapy / Q000009:adverse effects / Q000379:methods; D003693:Delirium / Q000209:etiology*; D004565:Electroconvulsive Therapy / Q000009:adverse effects*; D006801:Humans; D016651:Lithium Carbonate / Q000009:adverse effects*; D008297:Male; D016896:Treatment Outcome
chemical_list: D018692:Antimanic Agents; D016651:Lithium Carbonate
keywords: Delirium; Electroconvulsive therapy; Lithium