{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:04:31Z","timestamp":1756425871792,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,12,13]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>This is a case of a woman in her 70s with treatment-resistant major depression who was admitted psychiatrically for the fifth time in 1.5 years. She had a history of intensive psychotherapy and psychotropic medication trials with poor efficacy. She also had a history of adverse complications to electroconvulsive therapy (ECT) with prolonged seizures and postictal confusion during her third hospitalisation. At her fifth hospitalisation, due to poor response to routine psychiatric treatment, ECT was pursued. We discuss challenges in pursuing ECT and the outcome of the retrial of an acute ECT series, in the context of a paucity of similar literature regarding geriatric depression.<\/jats:p>","DOI":"10.1136\/bcr-2021-247633","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T11:02:51Z","timestamp":1683025371000},"page":"e247633","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacious retrial of electroconvulsive therapy for major depressive disorder after a prolonged seizure in an older adult"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3451-3459","authenticated-orcid":false,"given":"Joseph","family":"Kramkowski","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Pine Rest Christian Mental Health Services, Grand Rapids, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swapnil","family":"Rath","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Pine Rest Christian Mental Health Services, Grand Rapids, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"2025082804454822000_16.5.e247633.1","first-page":"66103","article-title":"Neurological devices; reclassification of electroconvulsive therapy devices; effective date of requirement for premarket approval for electroconvulsive therapy devices for certain specified intended uses. final order","volume":"83","year":"2018","journal-title":"Fed Regist"},{"key":"2025082804454822000_16.5.e247633.2","article-title":"Response predictors in ECT: a discussion about seizure threshold","volume":"4","author":"Seshadri","year":"2011","journal-title":"BJMP"},{"key":"2025082804454822000_16.5.e247633.3","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1176\/appi.ajp.2016.15081101","article-title":"Right unilateral ultrabrief pulse ECT in geriatric depression: phase 1 of the pride study","volume":"173","author":"Kellner","year":"2016","journal-title":"Am J Psychiatry"},{"key":"2025082804454822000_16.5.e247633.4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.148213"},{"key":"2025082804454822000_16.5.e247633.5","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1016\/j.psc.2016.04.004","article-title":"Adverse effects of electroconvulsive therapy","volume":"39","author":"Andrade","year":"2016","journal-title":"Psychiatr Clin North Am"},{"key":"2025082804454822000_16.5.e247633.6","first-page":"9","article-title":"Right unilateral versus bilateral electroconvulsive therapy in patients with clinical depression","volume":"13","author":"Saeed","year":"2021","journal-title":"Cureus"},{"key":"2025082804454822000_16.5.e247633.7","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1002\/npr2.12039","article-title":"When to switch from bilateral to unilateral electroconvulsive therapy: a simple way to elicit seizures in high seizure threshold cases","volume":"39","author":"Eda","year":"2019","journal-title":"Neuropsychopharmacol Rep"},{"key":"2025082804454822000_16.5.e247633.8","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/00124509-200106000-00010","article-title":"A unilateral, prolonged, nonconvulsive seizure in a patient treated with bilateral ECT","volume":"17","author":"Parker","year":"2001","journal-title":"J ECT"},{"key":"2025082804454822000_16.5.e247633.9","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.psc.2017.10.007","article-title":"Electroconvulsive therapy in geriatric psychiatry: a selective review","volume":"41","author":"Meyer","year":"2018","journal-title":"Psychiatr Clin North Am"},{"key":"2025082804454822000_16.5.e247633.10","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e318038fce0"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:45:52Z","timestamp":1756381552000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":10,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5,2]]},"published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1136\/bcr-2021-247633"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247633","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}