Role of Electroconvulsive Therapy in Managing Major Depressive Episodes in Patients With Dementia With Lewy Bodies

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kate Fruitman ◽  
Dimitry Francois
2015 ◽  
Vol 72 (3) ◽  
pp. 268 ◽  
Author(s):  
Elaine Setiawan ◽  
Alan A. Wilson ◽  
Romina Mizrahi ◽  
Pablo M. Rusjan ◽  
Laura Miler ◽  
...  

2017 ◽  
Vol 210 (6) ◽  
pp. 403-407 ◽  
Author(s):  
Alexander McGirr ◽  
Marcelo T. Berlim ◽  
David J. Bond ◽  
Peter Y. Chan ◽  
Lakshmi N. Yatham ◽  
...  

BackgroundKetamine has emerged as a novel therapeutic agent for major depressive episodes, spurring interest in its potential to augment electroconvulsive therapy (ECT).AimsWe sought to update our preliminary systematic review and meta-analysis, focusing on randomised controlled trials (RCTs) involving an index course of ECT, and testing the hypothesis that lack of efficacy is due to barbiturate anaesthetic co-administration.MethodWe searched EMBASE, CENTRAL and Medline to identify RCTs examining the efficacy of ketamine during a course of ECT. Data were synthesised from ten trials (ketamine group n = 333, comparator group n = 269) using pooled random effects models.ResultsElectroconvulsive therapy with ketamine was not associated with greater improvements in depressive symptoms or higher rates of clinical response or remission, nor did it result in pro-cognitive effects. This held true when limiting analysis to trials without barbiturate anaesthetic co-administration. Increased rates of confusion were reported.ConclusionsOverall, our analyses do not support using ketamine over other induction agents in ECT.


2012 ◽  
Vol 67 (4) ◽  
pp. 265-273 ◽  
Author(s):  
Kaisla Joutsenniemi ◽  
Annamari Tuulio-Henriksson ◽  
Marko Elovainio ◽  
Tommi Härkänen ◽  
Päivi Sainio ◽  
...  

Author(s):  
O. S. Levin ◽  
E. E. Vasenina ◽  
A. Sh. Chimagomedova ◽  
N. G. Dudchenko

Te lecture presents modern concept of the symptoms, diagnosis and treatment of dementia with Lewy bodies (DLB), which accounts for about 10% of cases of dementia. Te nosological status of DLB and the problem of ratio of DLB and Parkinson’s disease which, apparently, represent two phenotypic variants of one neurodegenerative process («diseases with Lewy bodies») are considered in historical aspect. Approaches to the diagnosis and coding of DLB in accordance with ICD-10 are proposed. Te role of cholinesterase inhibitors, antipsychotics, levodopa, rasagiline and other drugs in the treatment of patients with DLB is аnalyzed.


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