Related Experiment Video
Updated: Mar 21, 2026

MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
Published on: December 13, 2017
Ultrabrief Electroconvulsive Therapy for Mania: Data From 11 Acute Treatment Courses
Alby Elias1, Jothi Ramalingam, Nobia Abidi
1From the *Department of Psychiatry, The University of Melbourne, Melbourne, Victoria; †Gosford Hospital, Central Coast Local Health District, Gosford, NSW; ‡Goulburn Valley Health, Shepparton; and §Rural Health Academic Centre, The University of Melbourne, Shepparton, Victoria, Australia.
Abstract:
Electroconvulsive therapy (ECT) is an effective treatment of mania. Ultrabrief ECT is a novel modality that is associated with fewer cognitive adverse effects than the standard pulse width brief pulse ECT. It has been well studied in depression. However, its use in mania is not yet known. Following a retrospective chart view, we report a small sample of patients who had Right Unilateral Ultrabrief ECT (RUB-ECT) for mania. Eleven RUB-ECTs were identified for 9 patients; 72.8% remission rate was observed with RUB-ECT. Two patients required switch into bitemporal ECT in view of minimal clinical response and 1 patient to right unilateral brief pulse ECT because of poor seizure parameters. All patients achieved remission eventually. The possible mechanisms of ECT in mania and clinical implications of ultrabrief ECT are discussed.
Related Concept Videos
Electroconvulsive Therapy
Mania and Antimanic Drugs: Overview
Bipolar Disorder
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Psychosis: Goals of Pharmacotherapy
Antidepressant Drugs: MAOIs and Other Agents

