scholarly journals Chronic Tinnitus following Electroconvulsive Therapy

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Robert L. Folmer ◽  
Yongbing Shi ◽  
Sarah Theodoroff
Keyword(s):  
Major Depression ◽  
Electroconvulsive Therapy ◽  
Muscle Pain ◽  
Obsessive Compulsive ◽  
Antipsychotic Medications ◽  
Compulsive Disorder ◽  
History Of ◽  
Auditory Systems ◽  
The Right ◽  
Depressive Episodes

A 43-year-old female with a 27-year history of obsessive-compulsive disorder and major depression had previously been treated with psychotherapy, antidepressant, and antipsychotic medications. Because these treatments were minimally effective and because the frequency and duration of her depressive episodes continued to increase, the patient was scheduled to undergo a series of electroconvulsive therapy (ECT) procedures. The patient received four ECT treatments during one month. Stimulating current was delivered to the right frontotemporal region of the head. Electroencephalographic seizures occurred during each of the ECT procedures. After the patient recovered from anesthesia, she complained of headaches, muscle pain, amnesia, and, after the fourth ECT, she reported a ringing sound in her right ear. Audiometric testing the day after the fourth ECT revealed a slight increase in threshold for 8000 Hz tones in her right ear. It is likely that current delivered during the fourth ECT treatment triggered the perception of tinnitus for this patient. The unique organization of this patient's central nervous and auditory systems combined with her particular pharmacological history might have predisposed her to developing tinnitus.

scholarly journals A case of attempted bilateral self-enucleation in a patient with bipolar disorder

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Hannah Muniz Castro ◽  
John Alvarez ◽  
Robert G. Bota ◽  
Marc Yonkers ◽  
Jeremiah Tao
Keyword(s):  
Bipolar Disorder ◽  
Surgical Repair ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Self Mutilation ◽  
Intraocular Hemorrhage ◽  
History Of ◽  
The Right ◽  
Psychotic Features ◽  
Tomography Scan

Attempted and completed self-enucleation, or removal of one’s own eyes, is a rare but devastating form of self-mutilation behavior. It is often associated with psychiatric disorders, particularly schizophrenia, substance induced psychosis, and bipolar disorder. We report a case of a patient with a history of bipolar disorder who gouged his eyes bilaterally as an attempt to self-enucleate himself. On presentation, the patient was manic with both psychotic features of hyperreligous delusions and command auditory hallucinations of God telling him to take his eyes out. On presentation, the patient had no light perception vision in both eyes and his exam displayed severe proptosis, extensive conjunctival lacerations, and visibly avulsed extraocular muscles on the right side. An emergency computed tomography scan of the orbits revealed small and irregular globes, air within the orbits, and intraocular hemorrhage. He was taken to the operating room for surgical repair of his injuries. Attempted and completed self-enucleation is most commonly associated with schizophrenia and substance induced psychosis, but can also present in patients with bipolar disorder. Other less commonly associated disorders include obsessive-compulsive disorder, depression, mental retardation, neurosyphilis, Lesch-Nyhan syndrome, and structural brain lesions.

Electroconvulsive therapy as an effective alternative in depressive disorder

2017 ◽  
Vol 41 (S1) ◽  
pp. S525-S525
Author(s):  
G.M. Chauca Chauca ◽  
L. Carrión Expósito ◽  
P. Alonso Lobato
Keyword(s):  
Depressive Disorder ◽  
Electroconvulsive Therapy ◽  
Economic Cost ◽  
Repetitive Behaviors ◽  
Psychotic Symptoms ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Safe Technique ◽  
Competing Interest ◽  
Depressive Episodes

IntroductionThe efficacy of electroconvulsive therapy (ECT) in the treatment of depressive episodes is well established, and so is reflected in the major guides.ObjectivesDescription of a clinical case of a patient diagnosed with major depressive episode with psychotic symptoms and obsessive compulsive disorder prevalence of compulsive acts that do not respond to drug treatment but to electroconvulsive therapy.MethodsPresentation and review of a case.ResultsA 55-year-old woman diagnosed with recurrent depressive disorder with worsening in the last 4 years.Clinical depressive Sadness, spontaneous crying in the form of access, apathy, isolation and clinofilia desires, complaints mnemonic deficits and complete anhedonia. Obsessional symptoms compulsive as more repetitive behaviors of obsessive ideas, which repeats incessantly despite checking, that does not prepare or calm. The patient has not responded to any pharmacological strategy, despite using full doses and combinations of antidepressant, but euthymics more antipsychotics (sertraline, fluoxetine, reboxetine, venlafaxine, bupropion, lithium, valproic acid, lamotrigine, risperidone, quetiapine, trifluoperazine, clotiapine). For this reason, it was decided to start treatment with ECT, progressively responds in each session, after 8 sessions the patient is euthymic, it has resumed normal activities, no obsessive or psychotic symptoms.ConclusionsIt is important to know that it is a safe technique that would save not only an economic cost, if not a personal emotional cost. It is noteworthy that more than 50% of depressed patients who respond to a course of ECT, fall between 6 and 12 months despite receiving adequate pharmacological treatment then so we will have to closely monitor the patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A case of attempted bilateral self-enucleation in a patient with bipolar disorder

2017 ◽  
Vol 9 (1) ◽  
pp. 20-22
Author(s):  
Hannah Muniz Castro ◽  
John Alvarez ◽  
Robert G. Bota ◽  
Marc Yonkers ◽  
Jeremiah Tao
Keyword(s):  
Bipolar Disorder ◽  
Surgical Repair ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Self Mutilation ◽  
Intraocular Hemorrhage ◽  
History Of ◽  
The Right ◽  
Psychotic Features ◽  
Tomography Scan

Attempted and completed self-enucleation, or removal of one's own eyes, is a rare but devastating form of self-mutilation behavior. It is often associated with psychiatric disorders, particularly schizophrenia, substance induced psychosis, and bipolar disorder. We report a case of a patient with a history of bipolar disorder who gouged his eyes bilaterally as an attempt to self-enucleate himself. On presentation, the patient was manic with both psychotic features of hyperreligous delusions and command auditory hallucinations of God telling him to take his eyes out. On presentation, the patient had no light perception vision in both eyes and his exam displayed severe proptosis, extensive conjunctival lacerations, and visibly avulsed extraocular muscles on the right side. An emergency computed tomography scan of the orbits revealed small and irregular globes, air within the orbits, and intraocular hemorrhage. He was taken to the operating room for surgical repair of his injuries. Attempted and completed self-enucleation is most commonly associated with schizophrenia and substance induced psychosis, but can also present in patients with bipolar disorder. Other less commonly associated disorders include obsessive-compulsive disorder, depression, mental retardation, neurosyphilis, Lesch-Nyhan syndrome, and structural brain lesions.

Bipolar Disorder not Otherwise Specified: Comparison with Bipolar Disorder I/II and Major Depression

2007 ◽  
Vol 41 (10) ◽  
pp. 843-849 ◽  
Author(s):  
Peter R. Joyce ◽  
Katrina J. Light ◽  
Sarah L. Rowe ◽  
Martin A. Kennedy
Keyword(s):  
Bipolar Disorder ◽  
Major Depression ◽  
Personality Traits ◽  
Substance Dependence ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Not Otherwise Specified ◽  
History Of ◽  
Self Transcendence ◽  
Family Based

Objective: To compare the personality, clinical and comorbidity characteristics of subjects meeting diagnostic criteria for bipolar disorder not otherwise specified (BDNOS) to those with major depression and bipolar I or II disorder. Methods: A family-based study was undertaken on the molecular genetics of depression and personality, in which the proband had been treated for depression, regardless of history, of hypomania or mania. Results: The 25 subjects with BDNOS were different to the 297 subjects with major depression and similar to 75 subjects with bipolar I or II disorder on social phobia, obsessive–compulsive disorder and substance dependence comorbidity. The BDNOS subjects also had personality traits more akin to the bipolar I or II disorder subjects, especially borderline personality traits and self transcendence. Conclusions: Subjects with BDNOS, based on a history of 1–3 day recurrent hypomanias, should be included within a broader bipolar spectrum.

How athletes coped with COVID-19 restrictions: differences between Switzerland and Italy

2020 ◽  
Keyword(s):  
Psychological Symptoms ◽  
Training Session ◽  
Coping Resources ◽  
Government Officials ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Aggressive Action ◽  
History Of ◽  
Global Threat ◽  
Sport Facilities

The ongoing COVID-19 pandemic is a global crisis of unprecedented scale in modern times. The initial outbreak of COVID-19 in Wuhan spread rapidly, affecting other parts of China and soon other countries becoming a global threat. [1] On 11 March 2020, the WHO has declared the ‘Pandemic state’ calling the governments to take ‘urgent and aggressive action’ to delay and mitigate the peak of infection. To respond to COVID-19 public health experts and government officials are taking several measures, including social distancing, self-isolation, or quarantine; strengthening health facilities to control the disease; and asking people to work at home. To safeguard the health of athletes and others involved all forms of organized sport have been either cancelled or postponed. These range from mass participation events such as marathon races to football league and even to the Olympics and Paralympics that for the first time in the history of the modern games, have been postponed, and will be held in 2021. All sport in Italy had been suspended from early March and from April the lockdown measures had been extended to the training session for professional and non-professional athletes within all sport facilities. Unlike Italy, the Swiss government has not imposed a general curfew so athletes continued to train outdoor although training in a group was forbidden. [2,3] Some athletes in this situation will be able to build on existing coping resources while others athletes may experience psychological symptoms including fear of being infected, anxiety of physical recovery if infected, disturbed sleep, eating disorders, obsessive-compulsive disorder, and family conflicts.

Recurrent hyperperfusion in the right orbitofrontal cortex in obsessive–compulsive disorder

2008 ◽  
Vol 32 (4) ◽  
pp. 1082-1084 ◽  
Author(s):  
Ryohei Matsumoto ◽  
Takashi Nakamae ◽  
Takafumi Yoshida ◽  
Yurinosuke Kitabayashi ◽  
Yo Ushijima ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Orbitofrontal Cortex ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
The Right

Komorbidität von Zwangsstörungen und Major Depression: Rolle der HPA-Achse

2019 ◽  
Vol 87 (12) ◽  
pp. 677-678
Keyword(s):  
Major Depression ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Symptome einer schweren Depression (Major Depression, MD) treten häufig begleitend zu anderen psychiatrischen Erkrankungen wie Zwangsstörungen (Obsessive Compulsive Disorder, OCD) auf. Die hohe Komorbidität zwischen MD und OCD weist auf überlappende Krankheitsmechanismen hin. Für beide Erkrankungen sind Veränderungen in der Hypothalamus-Hypophysen-Nebennierenrinden (HPA)-Achse beschrieben worden.

Increased serum drug concentrations in concomitant treatment with citalopram, clomipramine and alprazolam

1994 ◽  
Vol 9 (6) ◽  
pp. 312-314
Author(s):  
U Lepola ◽  
E Leinonen ◽  
H Koponen
Keyword(s):  
Cytochrome P450 ◽  
Major Depression ◽  
Obsessive Compulsive Disorder ◽  
Oxidative Metabolism ◽  
Competitive Inhibition ◽  
High Serum ◽  
Concomitant Treatment ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Drug Concentrations

SummaryWe report the case of a patient with major depression and obsessive-compulsive disorder who had simultaneously high serum citalopram, clomipramine, and alprazolam concentrations probably due to the reciprocal competitive inhibition of the cytochrome P450-catalyzed oxidative metabolism.

Unilateral right anterior capsulotomy for refractory major depression with comorbid obsessive–compulsive disorder

Neurocase ◽  
2011 ◽  
Vol 17 (6) ◽  
pp. 491-500 ◽  
Author(s):  
Alonso R. Riestra ◽  
Jaime Aguilar ◽  
Gerardo Zambito ◽  
Gabriela Galindo y Villa ◽  
Fernando Barrios ◽  
...  
Keyword(s):  
Major Depression ◽  
Obsessive Compulsive Disorder ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Anterior Capsulotomy
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