Delayed onset and prolonged interictal delirium following electroconvulsive therapy

Electroconvulsive therapy is safe and effective in the treatment of depression in older individuals. Minor cognitive side effects of electroconvulsive therapy include acute postictal confusion and reversible short‐term memory deficits. However, interictal delirium is uncommon in absence of risk fact...

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Bibliographic Details
Published in:Psychogeriatrics 2012-09, Vol.12 (3), p.211-213
Main Authors: SELVARAJ, Arun G., PRAHARAJ, Samir Kumar
Format: Article
Language:English
Subjects:
Cholinesterase Inhibitors - therapeutic use
Delirium
Delirium - drug therapy
Delirium - etiology
depression
Depressive Disorder - therapy
Electroconvulsive therapy
electroconvulsive therapy (ECT)
Electroconvulsive Therapy - adverse effects
Electroconvulsive Therapy - methods
Follow-Up Studies
Haloperidol - therapeutic use
Humans
Hypnotics and Sedatives - therapeutic use
Indans - therapeutic use
interictal
Lorazepam - therapeutic use
Male
Mental depression
Middle Aged
Older people
Piperidines - therapeutic use
Risk Factors
Time Factors
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Summary:Electroconvulsive therapy is safe and effective in the treatment of depression in older individuals. Minor cognitive side effects of electroconvulsive therapy include acute postictal confusion and reversible short‐term memory deficits. However, interictal delirium is uncommon in absence of risk factors. Herein, we report the case a depressed male patient without any known risk factors who developed interictal delirium 2 days after his sixth electroconvulsive therapy session. Interictal delirium improved with treatment within 1 week.
ISSN:1346-3500
1479-8301
DOI:10.1111/j.1479-8301.2012.00419.x