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Updated: Jan 20, 2026
Performing Electroconvulsive Therapy and Assessing Seizure Efficacy via Pupillary Response
Published on: August 28, 2025
Severe Medical and Neurologic Complications Associated with Near-Lethal Catatonia Treated with Electroconvulsive
Teresa A. Rummans1, Mary E. Bassingthwaighte
1Department of Psychiatry and Psychology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
Abstract:
In a patient with near-lethal catatonia, complications progressed from mild fever and tachycardia to severe hyperthermia, malignant hypertension, and cortical and subcortical dysfunction with increased urine cortisol and catecholamine concentrations, bilateral extensor toe reflexes, decerebrate posturing, and Cheyne-Stokes respirations. Electroconvulsive treatment reversed these changes and prevented almost certain death.
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