Electroconvulsive therapy in depression with twin pregnancy.

Lucie Joly, Hugo Bottemanne, Marie-Pierre Bonnet, Anne Pinton, Vladimir Adrien, Stephane Mouchabac, Florian Ferreri
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Abstract

The use of electroconvulsive therapy (ECT) during twin pregnancy has been insufficiently studied, and there is limited evidence regarding its safety. Here, we present a case of successful use of ECT for severe major depressive disorder during twin pregnancy. The patient suffers from psychotic depression with catatonic presentation and Cotard syndrome (delusions with denial of internal organs). This case illustrates the difficulty in managing severe antenatal depression and addresses the guidelines for the ECT protocol (anaesthetic modalities, obstetrical monitoring, and duration of treatment) during twin pregnancy.

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电休克疗法治疗双胎妊娠抑郁症。
关于在双胎妊娠期间使用电休克疗法(ECT)的研究还不够充分,有关其安全性的证据也很有限。在此,我们介绍一例在双胎妊娠期间成功使用电休克疗法治疗严重重度抑郁症的病例。患者患有精神性抑郁症,伴有紧张性表现和 Cotard 综合征(否认内部器官的妄想)。本病例说明了处理严重产前抑郁症的难度,并探讨了双胎妊娠期间电痉挛疗法方案的指导原则(麻醉方式、产科监测和治疗持续时间)。
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来源期刊
CiteScore
6.00
自引率
3.30%
发文量
42
审稿时长
>12 weeks
期刊介绍: International Journal of Psychiatry in Clinical Practice provides an international forum for communication among health professionals with clinical, academic and research interests in psychiatry. The journal gives particular emphasis to papers that integrate the findings of academic research into realities of clinical practice. Focus on the practical aspects of managing and treating patients. Essential reading for the busy psychiatrist, trainee and interested physician. Includes original research papers, comprehensive review articles and short communications. Key words: Psychiatry, Neuropsychopharmacology, Mental health, Neuropsychiatry, Clinical Neurophysiology, Psychophysiology, Psychotherapy, Addiction, Schizophrenia, Depression, Bipolar Disorders and Anxiety.
期刊最新文献
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