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Evaluation of the effectiveness of electroconvulsive therapy in the treatment of psychosis in a patient with epilepsy. Clinical case

https://doi.org/10.17749/2077-8333/epi.par.con.2021.084

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Abstract

The results of successful treatment of schizophrenic psychosis with persistent catatonic symptoms, refusal to eat in a patient with epilepsy are presented. In view of the progressive course of the disease, the lack of dynamics from the ongoing drug treatment, the method of electroconvulsive therapy was applied. Epileptic seizures and visual signs of brain epileptization were absent with the development of psychosis. As a result of the course of electroconvulsive therapy (9 procedures), the patient's clinical condition improved significantly. This observation illustrates the possibility of using electroconvulsive therapy in combination with antipsychotics and antiepileptic drugs as an alternative method for treating drug-resistant epilepsy.

About the Authors

T. V. Dokukina
Republican Research and Practice Center for Mental Health
Belarus

Tatiana V. Dokukina – Dr. Med. Sc., Associate Professor, Deputy Director for Research

152 Dolginovskiy Trakt, Minsk 220053



F. P. Khlebokazov
Republican Research and Practice Center for Mental Health
Belarus

Fedor P. Khlebokazov – MD, PhD, Leading Researcher, Department of Mental and Behavioral Disorders

152 Dolginovskiy Trakt, Minsk 220053



I. I. Khvostova
Republican Research and Practice Center for Mental Health
Belarus

Irina I. Khvostova – MD, PhD, Associate Professor, Leading Researcher, Department of Mental and Behavioral Disorders

152 Dolginovskiy Trakt, Minsk 220053



N. N. Misyuk
Republican Research and Practice Center for Mental Health
Belarus

Nikolay N. Misyuk – MD, PhD, Functional Diagnostician, Department of Functional Diagnostics

152 Dolginovskiy Trakt, Minsk 220053



K. A. Bondar
Republican Research and Practice Center for Mental Health
Belarus

Kristina A. Bondar’ – Psychologist, 4th Psychiatric Department (for Women) for the Treatment of Postpartum Psychosis

152 Dolginovskiy Trakt, Minsk 220053



P. P. Korolevich
Republican Research and Practice Center for Mental Health
Belarus

Pavel P. Korolevich – Psychiatrist-Narcologist, 3rd Psychiatric Department (for the Treatment of Mental Disorders due to Epilepsy)

152 Dolginovskiy Trakt, Minsk 220053



E. L. Slobina
Russian Scientific Center of Roentgenoradiology
Russian Federation

Elena L. Slobina – MD, PhD, Senior Researcher

86 Profsoyuznaya Str., Moscow 117997



I. S. Glavinskiy
Republican Research and Practice Center for Mental Health
Belarus

Ivan S. Glavinskiy – Junior Researcher

152 Dolginovskiy Trakt, Minsk 220053



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For citation:


Dokukina T.V., Khlebokazov F.P., Khvostova I.I., Misyuk N.N., Bondar K.A., Korolevich P.P., Slobina E.L., Glavinskiy I.S. Evaluation of the effectiveness of electroconvulsive therapy in the treatment of psychosis in a patient with epilepsy. Clinical case. Epilepsy and paroxysmal conditions. 2021;13(1S):79-87. (In Russ.) https://doi.org/10.17749/2077-8333/epi.par.con.2021.084

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ISSN 2077-8333 (Print)
ISSN 2311-4088 (Online)