The Lysing of Catatonia With Intravenous Ketamine Prior to Definitive Treatment With ECT: Case Report in JECT

 Out on PubMed, from authors in Louisiana, in JECT, is this case report:


The Lysing of Catatonia With Intravenous Ketamine Prior to Definitive Treatment With Electroconvulsive Therapy.

Conrad EJ, Stielper ZF, Mermilliod IV, Eng MR.J ECT. 2025 Apr 15. doi: 10.1097/YCT.0000000000001151. Online ahead of print.PMID: 40232233

The abstract is copied below:

The presence of catatonia refractory to routine pharmacologic management is often subsequently managed by electroconvulsive therapy. However, legal obstacles that delay the initiation of electroconvulsive therapy in a timely fashion may be present. This may lead to prolonged risks associated with immobility and result in other procedures such as percutaneous endoscopic gastrostomy (PEG) tube placement. We present a case of successful lysing of catatonia with intravenous ketamine that allowed a patient to avoid potential complications and other procedures prior to definitive treatment with electroconvulsive therapy. Further research of this potential treatment of catatonia is needed as this may change the current approach to refractory catatonia.

Keywords: catatonia; electroconvulsive therapy; ketamine.

The report is here.
And from the text:


This is an interesting case report of sequential treatment, with good outcome. I particularly like the title, with innovative use of the term "lysing" and the descriptor of ECT as "definitive."

Kudos to our Louisiana colleagues.

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