{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T19:51:21Z","timestamp":1761940281477,"version":"build-2065373602"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,5,12]],"date-time":"2006-05-12T00:00:00Z","timestamp":1147392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bipolar Disorders"],"published-print":{"date-parts":[[2006,6]]},"abstract":"<jats:p><jats:bold>Background:\u2002<\/jats:bold> Although there are some reports on the efficacy of maintenance electroconvulsive therapy (mECT) in rapid cycling bipolar disorder there is scant data about the use of mECT in the non\u2010rapid cycling form of this condition.<\/jats:p><jats:p><jats:bold>Patient and methods:\u2002<\/jats:bold> We report the case of a 45\u2010year\u2010old man diagnosed with bipolar affective disorder at the age of 32 who had 5 manic episodes in 6\u2003years. These episodes were severe, required hospitalization and had poor response to lithium carbonate, sodium valproate, carbamazepine, haloperidol and chlorpromazine (either alone or in combination). The patient was treated with electroconvulsive therapy (ECT) during his last hospitalization and since then his treatment has included mECT and chlorpromazine (400\u2003mg\/day) and he has remained euthymic during the past 21\u2003months.<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> This case describes the utility of mECT in medication refractory bipolar disorder.<\/jats:p>","DOI":"10.1111\/j.1399-5618.2006.00312.x","type":"journal-article","created":{"date-parts":[[2006,5,12]],"date-time":"2006-05-12T16:04:42Z","timestamp":1147449882000},"page":"301-303","source":"Crossref","is-referenced-by-count":15,"title":["Maintenance electroconvulsive therapy for recurrent refractory mania"],"prefix":"10.1111","volume":"8","author":[{"given":"Antonio Leandro","family":"Nascimento","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Carlos","family":"Appolinario","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Segenreich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Tavares","family":"Cavalcanti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco Antonio Alves","family":"Brasil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,5,12]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1943.02290240036002"},{"key":"e_1_2_5_3_2","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1192\/bjp.89.375.257","article-title":"The maintenance treatment of chronic psychotics by electrically induced convulsions","volume":"89","author":"Moore NP","year":"1943","journal-title":"J Ment Sci"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.107.10.743"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.46.3.265"},{"volume-title":"Electroconvulsive therapy: report of the task force on electroconvulsive therapy of the American Psychiatric Association. 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