{"title":"狂躁谵妄病例系列:农村地区患者的救命治疗","authors":"Benjamin Kopec , Kelly Ridley","doi":"10.1016/j.psycr.2023.100187","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Manic delirium is an ill-defined, but serious diagnosis. It is a complex neuropsychiatric syndrome outlined by acute mania with features of delirium not caused by other illness. Research suggests electroconvulsive therapy (ECT) is the gold standard treatment, however this proves difficult in rural locations.</p></div><div><h3>Methods</h3><p>We describe the cases of four patients with manic delirium admitted to a rural inpatient psychiatric unit between October 2020 and May 2022.</p></div><div><h3>Results</h3><p>All four patients experienced symptoms of mania and delirium, complicated by urinary retention and reduced oral intake requiring ECT. Symptoms of delirium resolved faster than mania with full resolution of manic delirium occurring within twelve sessions of ECT.</p></div><div><h3>Conclusion</h3><p>ECT was the definitive treatment in all cases following poor response to medication. Access to ECT should be a priority for rural health services to improve the care of patients with severe mental illness.</p></div>","PeriodicalId":74594,"journal":{"name":"Psychiatry research case reports","volume":"2 2","pages":"Article 100187"},"PeriodicalIF":0.0000,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773021223000858/pdfft?md5=8cdd6611020544a7e651c1516e6aeb39&pid=1-s2.0-S2773021223000858-main.pdf","citationCount":"0","resultStr":"{\"title\":\"A case series of manic delirium: Life saving treatment for patients in rural areas\",\"authors\":\"Benjamin Kopec , Kelly Ridley\",\"doi\":\"10.1016/j.psycr.2023.100187\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Manic delirium is an ill-defined, but serious diagnosis. It is a complex neuropsychiatric syndrome outlined by acute mania with features of delirium not caused by other illness. Research suggests electroconvulsive therapy (ECT) is the gold standard treatment, however this proves difficult in rural locations.</p></div><div><h3>Methods</h3><p>We describe the cases of four patients with manic delirium admitted to a rural inpatient psychiatric unit between October 2020 and May 2022.</p></div><div><h3>Results</h3><p>All four patients experienced symptoms of mania and delirium, complicated by urinary retention and reduced oral intake requiring ECT. Symptoms of delirium resolved faster than mania with full resolution of manic delirium occurring within twelve sessions of ECT.</p></div><div><h3>Conclusion</h3><p>ECT was the definitive treatment in all cases following poor response to medication. Access to ECT should be a priority for rural health services to improve the care of patients with severe mental illness.</p></div>\",\"PeriodicalId\":74594,\"journal\":{\"name\":\"Psychiatry research case reports\",\"volume\":\"2 2\",\"pages\":\"Article 100187\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2773021223000858/pdfft?md5=8cdd6611020544a7e651c1516e6aeb39&pid=1-s2.0-S2773021223000858-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatry research case reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2773021223000858\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry research case reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2773021223000858","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A case series of manic delirium: Life saving treatment for patients in rural areas
Introduction
Manic delirium is an ill-defined, but serious diagnosis. It is a complex neuropsychiatric syndrome outlined by acute mania with features of delirium not caused by other illness. Research suggests electroconvulsive therapy (ECT) is the gold standard treatment, however this proves difficult in rural locations.
Methods
We describe the cases of four patients with manic delirium admitted to a rural inpatient psychiatric unit between October 2020 and May 2022.
Results
All four patients experienced symptoms of mania and delirium, complicated by urinary retention and reduced oral intake requiring ECT. Symptoms of delirium resolved faster than mania with full resolution of manic delirium occurring within twelve sessions of ECT.
Conclusion
ECT was the definitive treatment in all cases following poor response to medication. Access to ECT should be a priority for rural health services to improve the care of patients with severe mental illness.
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