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Revista do Hospital das Clínicas

versão On-line ISSN 1678-9903

Resumo

SOARES, Marcia Britto de Macedo; MORENO, Ricardo Alberto  e  MORENO, Doris Hupfeld. Electroconvulsive therapy in treatment-resistant mania: case reports. Rev. Hosp. Clin. [online]. 2002, vol.57, n.1, pp.31-38. ISSN 1678-9903.  https://doi.org/10.1590/S0041-87812002000100006.

Electroconvulsive therapy is known to be effective in the treatment of mood disorders, more specifically for depression and mania. Although a large body of evidence confirms the efficacy of electroconvulsive therapy in the treatment of mania, few prospective studies have been done to assess its effectiveness in treatment-resistant manic episodes. These case reports describe the initial results of a study that is being conducted to evaluate the efficacy of Electroconvulsive therapy among treatment-resistant bipolar patients. METHODS: Three manic patients (according to DSM-IV criteria) who were considered treatment-resistant underwent a series of 12 bilateral Electroconvulsive therapy sessions. Before the treatment and then weekly, they were evaluated with the following rating scales: Young Mania Rating Scale, Hamilton Rating Scale for Depression, Brief Psychiatric Rating Scale, and Clinical Global Impressions-Bipolar Version. RESULTS: The 3 patients showed a satisfactory response to Electroconvulsive therapy, although some differences in the course of response were observed. CONCLUSION: These case reports suggest that Electroconvulsive therapy needs further evaluation for the treatment of resistant bipolar patients.

Palavras-chave : Bipolar mood disorder; Mania; Treatment; Drug resistance; Electroconvulsive therapy.

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