Electroconvulsive therapy combined with lithium developed reversible pure anomic aphasia: a case report.

BMC Psychiatry

Mental Health Center, West China Hospital, Sichuan University, No.28 Dianxin South Road, Chengdu, 610041, China.

Published: October 2022

Background: Electroconvulsive therapy (ECT) combined with mood stabilizers is an effective method of treatment for manic episodes; however, there are controversial views on its side effects.

Case Presentation: A 53-year-old man was diagnosed with bipolar disorder during a manic episode, and had previous conditions such as hypertension, and diabetes. He developed reversible delirium and anomic aphasia during combined treatment with lithium and ECT (Li-ECT). No other neurological symptoms or signs happened during the one-month follow-up period.

Conclusions: The anomic aphasia appeared after ECT was reversible. Li-ECT should be administered with caution to middle- and older-aged patients with comorbidities, and serum Li levels should be closely monitored during the treatment period.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9615263PMC
http://dx.doi.org/10.1186/s12888-022-04323-1DOI Listing

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