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