Document Detail


Reversible Dementia and Affective Disorder: The Rip Van Winkle Syndrome.
MedLine Citation:
PMID:  11941215     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The diagnostic separation of the reversible dementia of an affective disorder from the dementia secondary to structural brain pathology remains a clinical challenge. A 58-year-old woman had been diagnosed as having Alzheimer's dementia for 9 years before antidepressant treatment with electroconvulsive therapy (ECT) resolved the dementia syndrome. The patient has functioned well for 8 years on maintenance treatment with lithium, with ECT given every 7-8 weeks. By the summer of 1993, she had undergone 132 ECT. Until specific and reliable pre-morbid tests for the diagnosis of irreversible dementias of the Alzheimer's and multiinfarct types are developed, antidepressant treatment trials are encouraged in elderly patients with a dementia syndrome. Extensive maintenance ECT schedules are safe.
Authors:
Lory E. Bright-Long; Max Fink
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Convulsive therapy     Volume:  9     ISSN:  0749-8055     ISO Abbreviation:  Convuls Ther     Publication Date:  1993  
Date Detail:
Created Date:  2002-Apr-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506311     Medline TA:  Convuls Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  209-216     Citation Subset:  -    
Affiliation:
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, and the Psychiatric Service, University Hospital, Stony Brook, New York, USA.
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