title: Ultrabrief Electroconvulsive Therapy for Mania: Data From 11 Acute Treatment Courses.
abstract: Electroconvulsive therapy (ECT) is an effective treatment of mania. Ultrabrief ECT is a novel modality that is associated with fewer cognitive adverse effects than the standard pulse width brief pulse ECT. It has been well studied in depression. However, its use in mania is not yet known. Following a retrospective chart view, we report a small sample of patients who had Right Unilateral Ultrabrief ECT (RUB-ECT) for mania. Eleven RUB-ECTs were identified for 9 patients; 72.8% remission rate was observed with RUB-ECT. Two patients required switch into bitemporal ECT in view of minimal clinical response and 1 patient to right unilateral brief pulse ECT because of poor seizure parameters. All patients achieved remission eventually. The possible mechanisms of ECT in mania and clinical implications of ultrabrief ECT are discussed.
authors.affiliation: From the *Department of Psychiatry, The University of Melbourne, Melbourne, Victoria; †Gosford Hospital, Central Coast Local Health District, Gosford, NSW; ‡Goulburn Valley Health, Shepparton; and §Rural Health Academic Centre, The University of Melbourne, Shepparton, Victoria, Australia.
authors.forename: Alby
authors.initials: A
authors.lastname: Elias
authors.forename: Jothi
authors.initials: J
authors.lastname: Ramalingam
authors.forename: Nobia
authors.initials: N
authors.lastname: Abidi
authors.forename: Sathish
authors.initials: S
authors.lastname: Thangapandian
authors.forename: Ravi
authors.initials: R
authors.lastname: Bhat
mesh_terms: D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy*; D004565:Electroconvulsive Therapy / Q000379:methods*; D004566:Electrodes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D016896:Treatment Outcome