Acute bilateral ECT in a depressed patient with a hip-aztreonam-spacer and subsequent maintenance ECT after prosthesis collocation.
Electroconvulsive Therapy (ECT) has been demonstrated to be a safe and effective treatment for geriatric depression, although its application might be challenging when medical comorbidities exist. The present case reports a 78-year-old man diagnosed with recurrent unipolar major depressive disorder (MDD), who presented with a severe depressive episode with psychotic features (DSM IV). He successfully received a course of bitemporal (BT) ECT with a hip-aztreonam-spacer due to a hip fracture that occurred during hospitalization. This was followed by maintenance ECT (M-ECT) with a recent prosthesis collocation. This particular case illustrates the importance of a multidisciplinary approach in geriatric patients with somatic complications receiving ECT.
School of Psychiatry, University of New South Wales (UNSW), Sydney, Australia; Therapeutic Neurostimulation Group, Black Dog Institute, Sydney, Australia.
Verònica
V
Gálvez
Psychiatry Department, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain; Mood Disorders Clinical and Research Unit, Psychiatry Department, Bellvitge University Hospital, Barcelona, Spain.
Aida
A
de Arriba Arnau
Psychiatry Department, Salut Mental Parc Taulí. Corporació Sanitària Universitària Parc Taulí, Sabadell, Spain; Institut Universitari Parc Taulí - UAB (IUFPT-UAB), Sabadell, Spain.
Erika
E
Martínez-Amorós
Department of Anesthesiology. Bellvitge University Hospital, L´Hospitalet de Llobregat, Barcelona, Spain.
Carmina
C
Ribes
ECT Unit, Psychiatry Department, Bellvitge Hospital-ICS, University of Barcelona, Bellvitge Biomedical Research Institute (IDIBELL), CIBERSAM, L'Hospitalet de Llobregat, Barcelona, Spain.
Mikel
M
Urretavizcaya
Psychiatry Department, Bellvitge Hospital-ICS, University of Barcelona, Bellvitge Biomedical Research Institute(IDIBELL), CIBERSAM, L'Hospitalet de Llobregat, Barcelona, Spain.
Narcís
N
Cardoner
aged care; depression; electroconvulsive therapy; falls; physical illness