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Acute bilateral ECT in a depressed patient with a hip-aztreonam-spacer and subsequent maintenance ECT after
Verònica Gálvez1, Aida de Arriba Arnau2, Erika Martínez-Amorós3
1School of Psychiatry, University of New South Wales (UNSW), Sydney, Australia; Therapeutic Neurostimulation Group, Black Dog Institute, Sydney, Australia.
Abstract:
Electroconvulsive Therapy (ECT) has been demonstrated to be a safe and effective treatment for geriatric depression, although its application might be challenging when medical comorbidities exist. The present case reports a 78-year-old man diagnosed with recurrent unipolar major depressive disorder (MDD), who presented with a severe depressive episode with psychotic features (DSM IV). He successfully received a course of bitemporal (BT) ECT with a hip-aztreonam-spacer due to a hip fracture that occurred during hospitalization. This was followed by maintenance ECT (M-ECT) with a recent prosthesis collocation. This particular case illustrates the importance of a multidisciplinary approach in geriatric patients with somatic complications receiving ECT.
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