Psychiatry Portal: Noon Conference

Catatonia and ECT (11/10)

Noon Conference: November 10, 2020

Today we discussed a patient who was treated with ECT for catatonia/depression. This patient was notable because of the presence of metal plates in the skull from previous surgeries. 

Today's Post-Conference Reading articles:

1. Leroy A, Naudet F, Vaiva G, Francis A, Thomas P, Amad A. Is electroconvulsive therapy an evidence-based treatment for catatonia? A systematic review and meta-analysis. Eur Arch Psychiatry Clin Neurosci. 2018 Oct;268(7):675-687. doi: 10.1007/s00406-017-0819-5. Epub 2017 Jun 21. PMID: 28639007.
2. Micallef-Trigona B. Comparing the effects of repetitive transcranial magnetic stimulation and electroconvulsive therapy in the treatment of depression: a systematic review and meta-analysis. Depress Res Treat. 2014;2014:135049. doi: 10.1155/2014/135049. Epub 2014 Jul 21. PMID: 25143831; PMCID: PMC4131106.
3. Greenhalgh J, Knight C, Hind D, Beverley C, Walters S. Clinical and cost-effectiveness of electroconvulsive therapy for depressive illness, schizophrenia, catatonia and mania: systematic reviews and economic modelling studies. Health Technol Assess. 2005 Mar;9(9):1-156, iii-iv. doi: 10.3310/hta9090. PMID: 15774232.
4. Kho KH, van Vreeswijk MF, Simpson S, Zwinderman AH. A meta-analysis of electroconvulsive therapy efficacy in depression. J ECT. 2003 Sep;19(3):139-47. doi: 10.1097/00124509-200309000-00005. PMID: 12972983.
5. Dunne RA, McLoughlin DM. Systematic review and meta-analysis of bifrontal electroconvulsive therapy versus bilateral and unilateral electroconvulsive therapy in depression. World J Biol Psychiatry. 2012 Apr;13(4):248-58. doi: 10.3109/15622975.2011.615863. Epub 2011 Nov 18. PMID: 22098115.

Additional Suggested Readings & Collections:

1. ECT with metal in the head
2. ECT and catatonia
3. ECT vs rTMS - effect sizes/efficacy