Treatment of Refractory Depressive Catatonia in an Elderly Patient

Abstract

Objective: To present a favorable clinical outcome with the use of ECT in an elderly patient with refractory Depressive Catatonia, underscoring the relevance of this therapeutic approach and corroborating its efficacy. Case Report: Female patient, 84 years old, diagnosed with Major Depressive Disorder, progressing to Depression-Associated Catatonia. After years of management with benzodiazepines and antipsychotics without satisfactory clinical response, as assessed by BFCRS, the implementation of ECT became necessary, resulting in significant improvement in catatonic symptoms. Final Considerations: Catatonia imposes a severe impact on the patient’s social interaction, making it imperative to provide an effective and safe treatment that minimizes the risk of adverse events. ECT has been solidified as a robust therapeutic intervention; therefore, promoting and demystifying its use is a task for the medical team responsible for patients affected by catatonic conditions. Finally, the medical literature lacks information explaining the pathophysiology of the disease, so by presenting imaging exams (MRI), we aim to contribute to filling these knowledge gaps.