Agitated depression successfully treated with electroconvulsive therapy combined with steroid cover in a patient with Addison's disease

Kazumasa Suzuki; Shuichi Awata; Yasunori Oyama; Megumi Fujiyama; Takehisa Takano; Akira Sugawara; Hiroo Matsuoka

doi:10.1016/j.pnpbp.2007.01.017

Agitated depression successfully treated with electroconvulsive therapy combined with steroid cover in a patient with Addison's disease

Prog Neuropsychopharmacol Biol Psychiatry. 2007 May 9;31(4):956-8. doi: 10.1016/j.pnpbp.2007.01.017. Epub 2007 Jan 19.

Authors

Kazumasa Suzuki¹, Shuichi Awata, Yasunori Oyama, Megumi Fujiyama, Takehisa Takano, Akira Sugawara, Hiroo Matsuoka

Affiliation

¹ Department of Psychiatry, Tohoku University Hospital, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan. kazumasa_tohoku@umin.ac.jp

PMID: 17324493
DOI: 10.1016/j.pnpbp.2007.01.017

Abstract

We report the case of a 70-year-old man with Addison's disease who developed severe agitated depression resulting in life-threatening medical conditions. The depression was treated safely with electroconvulsive therapy (ECT) combined with steroid cover. Administration of steroid cover just before each ECT session may increase safety of the ECT procedure in psychiatric patients with Addison's disease.

Publication types

Case Reports

MeSH terms

Addison Disease / complications*
Aged
Depressive Disorder / complications
Depressive Disorder / therapy*
Electroconvulsive Therapy*
Humans
Male
Psychomotor Agitation / complications
Psychomotor Agitation / therapy*
Steroids / therapeutic use*

Substances

Steroids