Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia

In the field of psychogeriatrics, the differential diagnosis of depression and dementia, as well as the treatment of depression and comorbid dementia, is an important issue. In this paper, the authors present the case of a 72-year-old woman with Cotard’s syndrome and frontotemporal dementia (FTD) wh...

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Main Authors:	Toshiyuki Kobayashi, Koju Inoue, Katsutoshi Shioda, Satoshi Kato
Format:	Article
Language:	English
Published:	Hindawi Limited 2012-01-01
Series:	Case Reports in Psychiatry
Online Access:	http://dx.doi.org/10.1155/2012/627460

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spelling	doaj-0af7dd6a18ed4def9f78e54485c220712020-11-25T01:03:41ZengHindawi LimitedCase Reports in Psychiatry2090-682X2090-68382012-01-01201210.1155/2012/627460627460Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe DementiaToshiyuki Kobayashi0Koju Inoue1Katsutoshi Shioda2Satoshi Kato3Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Tochigi, Shimotsuke 329-0498, JapanDepartment of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Tochigi, Shimotsuke 329-0498, JapanDepartment of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Tochigi, Shimotsuke 329-0498, JapanDepartment of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Tochigi, Shimotsuke 329-0498, JapanIn the field of psychogeriatrics, the differential diagnosis of depression and dementia, as well as the treatment of depression and comorbid dementia, is an important issue. In this paper, the authors present the case of a 72-year-old woman with Cotard’s syndrome and frontotemporal dementia (FTD) who was admitted to a psychiatric hospital with delusions of negation accompanied by depressive symptoms. Pharmacotherapy over a 2-year hospitalization was unsuccessful, and she was subsequently transferred to our university hospital. A total of 18 sessions of electroconvulsive therapy released her from psychomotor inhibition, appetite loss, and Cotard’s delusions. The indication for electroconvulsive therapy in patients with dementia is discussed.http://dx.doi.org/10.1155/2012/627460
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Toshiyuki Kobayashi Koju Inoue Katsutoshi Shioda Satoshi Kato
spellingShingle	Toshiyuki Kobayashi Koju Inoue Katsutoshi Shioda Satoshi Kato Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia Case Reports in Psychiatry
author_facet	Toshiyuki Kobayashi Koju Inoue Katsutoshi Shioda Satoshi Kato
author_sort	Toshiyuki Kobayashi
title	Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia
title_short	Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia
title_full	Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia
title_fullStr	Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia
title_full_unstemmed	Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia
title_sort	effectiveness of electroconvulsive therapy for depression and cotard’s syndrome in a patient with frontotemporal lobe dementia
publisher	Hindawi Limited
series	Case Reports in Psychiatry
issn	2090-682X 2090-6838
publishDate	2012-01-01
description	In the field of psychogeriatrics, the differential diagnosis of depression and dementia, as well as the treatment of depression and comorbid dementia, is an important issue. In this paper, the authors present the case of a 72-year-old woman with Cotard’s syndrome and frontotemporal dementia (FTD) who was admitted to a psychiatric hospital with delusions of negation accompanied by depressive symptoms. Pharmacotherapy over a 2-year hospitalization was unsuccessful, and she was subsequently transferred to our university hospital. A total of 18 sessions of electroconvulsive therapy released her from psychomotor inhibition, appetite loss, and Cotard’s delusions. The indication for electroconvulsive therapy in patients with dementia is discussed.
url	http://dx.doi.org/10.1155/2012/627460
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Effectiveness of Electroconvulsive Therapy for Depression and Cotard’s Syndrome in a Patient with Frontotemporal Lobe Dementia

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