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Electroconvulsive therapy for treatment of late-onset obsessive compulsive disorder

Published online by Cambridge University Press:  07 April 2010

Samantha Loi  and
Richard Bonwick
Samantha Loi*
Affiliation:
St Georges Hospital, Normanby House, Kew, Victoria, Australia
Richard Bonwick
Affiliation:
St Georges Hospital, Normanby House, Kew, Victoria, Australia
*
Correspondence should be addressed to: Dr Samantha Loi, St Georges Hospital, Normanby House, 283 Cotham Road, Kew, Victoria, Australia, 3101. Phone: +613 9816 0478; Fax: +613 9816 0476. Email: sloi3@yahoo.com.
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Abstract

An 81-year-old female with no previous psychiatric history presented with late-onset obsessive compulsive disorder following an acute right macular hemorrhage and loss of vision. Following a thorough organic screen to exclude a physical cause, various high doses of selective serotonin reuptake inhibitors were tried with no therapeutic benefit. The patient had significant remission of her symptoms following a course of electroconvulsive therapy.

Keywords

ECTlate-onset OCD
Type
Case Report
Information
International Psychogeriatrics , Volume 22 , Issue 5 , August 2010 , pp. 830 - 831
Copyright
Copyright © International Psychogeriatric Association 2010

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References

American Psychiatric Association (2004). Diagnostic Statistical Manual of Mental Disorders, 4th edn.Washington, DC: American Psychiatric Association.Google Scholar
Casey, D. and Davis, M. (1994). OCD response to ECT in an elderly female. Southern Medical Journal, 87, 862–864.CrossRefGoogle Scholar
Cybulska, E. (2006). Obsessive compulsive disorder, the brain and ECT. British Journal of Hospital Medicine, 67, 77–82.CrossRefGoogle Scholar
Dell'Osso, B., Altamura, A. C., Mundo, E., Marazziti, D. and Hollander, E. (2007). Diagnosis and treatment of OCD: a treatment of OCD: general lines of intervention. International Journal of Clinical Practice, 61, 98–104.CrossRefGoogle Scholar
Hayakawa, H., Okamoto, Y., Shimizu, M., Nishida, A., Motohashi, N. and Yamawaki, S. (1995). Single or repeated treatment with electroconvulsive shock increases number of serotonin uptake binding sites in the frontal cortex. Neuropsychobiology, 31, 1–5.CrossRefGoogle ScholarPubMed
Hussain, M. M., Lewis, S. F. and Thorton, W. L. (1993). Maintenance ECT for refractory OCD. American Journal of Psychiatry, 150, 1899–1900.Google Scholar
Khanna, S., Gangadhar, B. N., Sinha, V., Rajendra, P. N. and Channabasavanna, S. M. (1988). Electroconvulsive therapy in obsessive compulsive disorder. Convulsive Therapy, 4, 314–320.Google ScholarPubMed
Mellman, L. A. and Gorman, J. M. (1984). Successful treatment of OCD with ECT. American Journal of Psychiatry, 141, 596–597.Google Scholar
Mishra, B., Saddichha, S. and Baikunthanath, M. (2007). Management of treatment-resistant obsessive-compulsive disorder: an update on therapeutic strategies. Annals of Indian Academic Neurology, 10, 145–153.CrossRefGoogle Scholar
Thomas, S. and Kellner, C. (2003). Remission of major depression and obsessive-compulsive disorder after a single unilateral ECT. Journal of ECT, 19, 50–51.CrossRefGoogle ScholarPubMed
Tiller, J. and Lyndon, R. (2003). Electroconvulsive Therapy. An Australasian Guide. Australian Postgraduate Medicine. Australia.Google Scholar