Neuroleptic Malignant Syndrome: Neuroleptic Rechallenge After Electroconvulsive Therapy.

The necessity of neuroleptic rechallenge in patients who have experienced neuroleptic malignant syndrome (NMS) has been discussed in recent articles. Electroconvulsive therapy (ECT) has been proposed as an alternative treatment to neuroleptics. In cases where ECT fails, neuroleptic rechallenge remains the only alternative.

Electroconvulsive Therapy in Mania: Successful Outcome Despite Short Duration of Convulsions.

A duration of 25-30 s of convulsions in electroconvulsive therapy (ECT) is thought to be the minimum necessary for an adequate treatment. We describe three manic attacks in a 48-year-old patient resistant to psychotropic drugs who responded to successive courses of ECT, each with unusually short durations of seizures.