Electroconvulsive therapy in catatonic patients: Efficacy and predictors of response

doi:10.5498/wjp.v5.i2.182

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Jun 22, 2015 (publication date) through Feb 15, 2026

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World Journal of Psychiatry

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World J Psychiatr. Jun 22, 2015; 5(2): 182-192
Published online Jun 22, 2015. doi: 10.5498/wjp.v5.i2.182

Electroconvulsive therapy in catatonic patients: Efficacy and predictors of response

Federica Luchini, Pierpaolo Medda, Michela Giorgi Mariani, Mauro Mauri, Cristina Toni, Giulio Perugi

Federica Luchini, Pierpaolo Medda, Michela Giorgi Mariani, Mauro Mauri, Cristina Toni, Giulio Perugi, Department of Experimental and Clinic Medicine, Section of Psychiatry, University of Pisa, 56100 Pisa, Italy

Cristina Toni, Giulio Perugi, Institute of Behavioural Science, G.De Lisio, 56100 Pisa, Italy

Author contributions: All authors contributed to this manuscript.

Conflict-of-interest: All the authors report no conflict of interest relevant to this work.

Correspondence to: Giulio Perugi, MD, Department of Experimental and Clinic Medicine, Section of Psychiatry, University of Pisa, Via Roma 67, 56100 Pisa, Italy. giulio. perugi@med.unipi.it

Telephone: +39-05-0992559 Fax: +39-05-02219787

Received: September 26, 2014
Peer-review started: September 28, 2014
First decision: November 19, 2014
Revised: February 12, 2015
Accepted: March 5, 2015
Article in press: March 9, 2015
Published online: June 22, 2015
Processing time: 265 Days and 14.1 Hours

Core Tip

Core tip: Catatonia is a treatable autonomous syndrome, frequently associated with mood disorders, but also observed in neurological, neurodevelopmental and toxic conditions. Electroconvulsive therapy (ECT) is effective in 80% to 100% of all forms of catatonia, even after pharmacotherapy with benzodiazepines has failed, and is considered first-line treatment in patients with neuroleptic malignant syndrome. Increasing the knowledge on the mechanism of action of ECT in catatonia may contribute to the development of other brain stimulation techniques, such as transcranial magnetic stimulation and deep brain stimulation. ECT response in different subtype of catatonia and efficacy of maintenance ECT in long-term prevention of recurrent catatonia deserve further research.