Electroconvulsive Therapy and Delirious Catatonic Mania

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To the Editor:
Bipolar disorder is one of the most common psychiatric illnesses and affected individuals often present with manic symptoms. Delirious mania is an underrecognized clinical syndrome.1 It is first described in 1849 as an acute syndrome of excitement, delirium, and psychosis.2 Between 15% and 20% of patients with acute mania exhibit signs of delirium.3 Mania with catatonia usually evidences a less good outcome than mania without catatonia.4 Benzodiazepines and electroconvulsive therapy (ECT) are effective for treating patients with delirious catatonic mania.5 A patient with bipolar disorder presented with delirious mania and catatonia. Interventions included benzodiazepines and ECT.
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