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Electroconvulsive Therapy for Long-term Mutism in a Case of Noncatatonic Paranoid Schizophrenia.
MedLine Citation:
PMID:  24062967     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
We report a rare case of paranoid schizophrenia presenting with continuous mutism for about three years. This 26-year-old woman with multiple Schneiderian first-rank symptoms ['Schneiderian' refers to those symptoms established by the German psychiatrist Kurt Schneider for the diagnosis of schizophrenia] did not have any catatonic features, and she would fluently communicate by gesturing or writing. Since there was serious impairment in biological functions not readily correctable by antipsychotics, she was started on electroconvulsive therapy. She responded well to 14 sessions of electroconvulsive therapy along with oral haloperidol. We also discuss the cultural implications of prolonged mutism. To the best of our knowledge, this is the first case of mutism in noncatatonic paranoid schizophrenia that responded well to electroconvulsive therapy described in the literature.
Authors:
Aniruddha Basu; Priti Singh; Rajiv Gupta; Savita Kundu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Innovations in clinical neuroscience     Volume:  10     ISSN:  2158-8333     ISO Abbreviation:  Innov Clin Neurosci     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-09-24     Completed Date:  2013-09-24     Revised Date:  2014-08-06    
Medline Journal Info:
Nlm Unique ID:  101549695     Medline TA:  Innov Clin Neurosci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  10-2     Citation Subset:  -    
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