{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T05:26:29Z","timestamp":1751865989774},"reference-count":20,"publisher":"American Psychiatric Association Publishing","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AJP"],"published-print":{"date-parts":[[1963,10]]},"DOI":"10.1176\/ajp.120.4.398","type":"journal-article","created":{"date-parts":[[2014,12,17]],"date-time":"2014-12-17T18:27:09Z","timestamp":1418840829000},"page":"398-400","source":"Crossref","is-referenced-by-count":30,"title":["AN UNUSUAL FATAL OUTCOME OF ELECTRO-CONVULSIVE THERAPY"],"prefix":"10.1176","volume":"120","author":[{"given":"F. PATRICK","family":"MCKEGNEY","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ANTHONY F.","family":"PANZETTA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"230","reference":[{"key":"p_1","volume-title":"Shock Treatments, Psychosurgery and Other Somatic Treatments in Psychiatry","author":"Kalinowsky L. B.","year":"1952"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-196001000-00010"},{"key":"p_3","first-page":"1385","volume":"2","author":"Ruddell J. S.","year":"1961","journal-title":"Lancet"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(56)90018-6"},{"key":"p_7","unstructured":"The case herein described is that of a 23-year-old single man in apparently good physical health who presented catatonic schizophrenic symptoms. He first manifested evidence of brain damage immediately following his first ECT and died after a progressively deteriorating course of 2 months. This report will neither attempt an over-all discussion of the problems of cerebral complications of ECT, nor summarize completely the literature on the topic, since there have been several comprehensive reviews in recent years ( 1-3) as well as earlier(4,5)."},{"key":"p_8","unstructured":"The mortality rate in patients who receive ECT is generally placed between .03 and .08%(6), but, as Impastato clearly demonstrates, there is a direct relationship between the mortality rate and the age of the patient. For example, patients in the 20-30-year age group have a death rate from all complications of .025%, as compared to a .5% figure for patients over 60 years of age. Further, most series indicate that approximately 10% of the fatalities following ECT are due to \"cerebral causes\" of all types. Thus, the death of this 23-"},{"key":"p_9","volume-title":"of Psychiatry","author":"Dept"},{"key":"p_11","unstructured":"The patient remained essentially unchanged throughout the rest of the evening and the following day, Iying in bed with his eyes closed. When called by name he would start and halfopen his eyes, but then close them quickly and turn his back on the examiner. He was seen to flop out of his bed occasionally and to urinate on the floor. There were considerable posturing and unusual movements. A complete physical and neurological examination, performed on the second hospital day, was negative in all respects other than the behavior noted above. The axial temperature was 37#{176} C; blood pressure 120\/72; pulse 58 per minute and regular; respiration 16-20 per minute and regular."},{"key":"p_12","volume-title":"he was given his first ECT on the morning of Apr. 7 (atropine .6 mgm., as premedication","author":"In"},{"key":"p_15","volume-title":"the patient remained comatose, suffering pulmonary and urinary infections, a Curlings ulcer, and increasing cachexia. He died","author":"Over","year":"1962"},{"key":"p_18","volume-title":"There is a moderate fibrosis of the dura, with numerous multinucleate \"foreign body","author":"Microscopic Findings"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.113.4.337"},{"key":"p_24","first-page":"34","volume":"18","author":"Impastato D. J.","year":"1957","journal-title":"Dis. New. Syst."},{"key":"p_25","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.105.439.339"},{"key":"p_26","doi-asserted-by":"publisher","DOI":"10.1001\/archneurpsyc.1943.02290130115011"},{"key":"p_27","doi-asserted-by":"publisher","DOI":"10.1097\/00005053-194810720-00002"},{"key":"p_28","volume-title":"Somatic Treatments in Psychiatry","author":"Kalinowsky L. B.","year":"1961"},{"key":"p_29","doi-asserted-by":"publisher","DOI":"10.1177\/003591575304600103"},{"key":"p_33","volume-title":"( 18), reported the ingestion of 5375 mg","author":"Mann"},{"key":"p_35","volume-title":"Dept. of Psychiatry","author":"Respecfively"}],"container-title":["American Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/psychiatryonline.org\/doi\/10.1176\/ajp.120.4.398","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T23:30:16Z","timestamp":1721863816000},"score":1,"resource":{"primary":{"URL":"https:\/\/psychiatryonline.org\/doi\/10.1176\/ajp.120.4.398"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1963,10]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1963,10]]}},"alternative-id":["10.1176\/ajp.120.4.398"],"URL":"https:\/\/doi.org\/10.1176\/ajp.120.4.398","relation":{},"ISSN":["0002-953X","1535-7228"],"issn-type":[{"value":"0002-953X","type":"print"},{"value":"1535-7228","type":"electronic"}],"subject":[],"published":{"date-parts":[[1963,10]]}}}