ECT-Induced Interictal Delirium in Patients With a History of a CVA

Michelle Martin, Gary Figiel, Gregory Mattingly, Charles F. Zorumski, Michael R. Jarvis

Research output: Contribution to journalArticle

34 Scopus citations

Abstract

Earlier works have documented a high incidence of affective disorders in patients with a history of a cerebrovascular accident (CVA). In general, electroconvulsive therapy (ECT) has been reported to be effective in treating depressed patients with a history of CVA. Recent works have shown that preexisting structural brain changes may predispose patients to develop interictal ECT-induced delirium. However, the incidence of ECT-induced interictal delirium in patients with a history of CVA has not been directly studied. In this pilot study, the authors examined the incidence of ECT-induced interictal delirium in 14 depressed CVA patients compared with 14 elderly depressed controls (without a history of CVA). Interestingly, the overall incidence of delirium was identical in both groups (28.5%). However, consistent with previous works, some patients who had had a recent CVA involving the caudate nucleus appeared more likely to develop delirium. Thirteen of the 14 depressed CVA patients (92%) showed a moderate to significant improvement in their depressive symptoms from ECT. None of the patients developed significant cardiac complications during ECT. (J Geriatr Psychiatry Neurol 1992;5:149–155).

Original languageEnglish
Pages (from-to)149-155
Number of pages7
JournalJournal of Geriatric Psychiatry and Neurology
Volume5
Issue number3
DOIs
StatePublished - Jul 1992

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