Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy

Justine Wittenauer Welsh, A. Umair Janjua, Steven J. Garlow, Laurie McCormick, Mustafa M. Husain, Daniel F. Maixner, Richard D. Weiner, Adriana P. Hermida

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Our team at Emory University Hospital contacted experts at the National Network of Depression Centers (NNDC) for clinical guidance concerning a patient with schizophrenia hospitalized in the intensive care unit with a complex case of prolonged delirium secondary to neuroleptic malignant syndrome (NMS). Through the NNDC, leading psychiatrists across the United States with expertise in electroconvulsive therapy (ECT) provided us with treatment strategies based on experience in our area of concern. This report describes our use of ECT to treat severe NMS in this patient with schizophrenia, utilizing the recommendations made by the NNDC's ECT experts concerning electrode position, number and frequency of treatments, and selection of anesthetic induction agents. This case report highlights the utility of expert consultation in the treatment of rare diseases and provides guidance on how to treat NMS in the intensive care unit setting.

Original languageEnglish (US)
Pages (from-to)484-489
Number of pages6
JournalJournal of Psychiatric Practice
Volume22
Issue number6
DOIs
StatePublished - 2016

Fingerprint

Neuroleptic Malignant Syndrome
Electroconvulsive Therapy
Referral and Consultation
Intensive Care Units
Schizophrenia
Depression
Delirium
Rare Diseases
Psychiatry
Anesthetics
Electrodes
Therapeutics

Keywords

  • electroconvulsive therapy
  • etomidate
  • National Network of Depression Centers (NNDC)
  • neuroleptic malignant syndrome
  • systems of care

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy. / Welsh, Justine Wittenauer; Janjua, A. Umair; Garlow, Steven J.; McCormick, Laurie; Husain, Mustafa M.; Maixner, Daniel F.; Weiner, Richard D.; Hermida, Adriana P.

In: Journal of Psychiatric Practice, Vol. 22, No. 6, 2016, p. 484-489.

Research output: Contribution to journalArticle

Welsh, Justine Wittenauer ; Janjua, A. Umair ; Garlow, Steven J. ; McCormick, Laurie ; Husain, Mustafa M. ; Maixner, Daniel F. ; Weiner, Richard D. ; Hermida, Adriana P. / Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy. In: Journal of Psychiatric Practice. 2016 ; Vol. 22, No. 6. pp. 484-489.
@article{c2831d06afda4bbd84a9667ac5d147ea,
title = "Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy",
abstract = "Our team at Emory University Hospital contacted experts at the National Network of Depression Centers (NNDC) for clinical guidance concerning a patient with schizophrenia hospitalized in the intensive care unit with a complex case of prolonged delirium secondary to neuroleptic malignant syndrome (NMS). Through the NNDC, leading psychiatrists across the United States with expertise in electroconvulsive therapy (ECT) provided us with treatment strategies based on experience in our area of concern. This report describes our use of ECT to treat severe NMS in this patient with schizophrenia, utilizing the recommendations made by the NNDC's ECT experts concerning electrode position, number and frequency of treatments, and selection of anesthetic induction agents. This case report highlights the utility of expert consultation in the treatment of rare diseases and provides guidance on how to treat NMS in the intensive care unit setting.",
keywords = "electroconvulsive therapy, etomidate, National Network of Depression Centers (NNDC), neuroleptic malignant syndrome, systems of care",
author = "Welsh, {Justine Wittenauer} and Janjua, {A. Umair} and Garlow, {Steven J.} and Laurie McCormick and Husain, {Mustafa M.} and Maixner, {Daniel F.} and Weiner, {Richard D.} and Hermida, {Adriana P.}",
year = "2016",
doi = "10.1097/PRA.0000000000000193",
language = "English (US)",
volume = "22",
pages = "484--489",
journal = "Journal of Psychiatric Practice",
issn = "1527-4160",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Use of Expert Consultation in a Complex Case of Neuroleptic Malignant Syndrome Requiring Electroconvulsive Therapy

AU - Welsh, Justine Wittenauer

AU - Janjua, A. Umair

AU - Garlow, Steven J.

AU - McCormick, Laurie

AU - Husain, Mustafa M.

AU - Maixner, Daniel F.

AU - Weiner, Richard D.

AU - Hermida, Adriana P.

PY - 2016

Y1 - 2016

N2 - Our team at Emory University Hospital contacted experts at the National Network of Depression Centers (NNDC) for clinical guidance concerning a patient with schizophrenia hospitalized in the intensive care unit with a complex case of prolonged delirium secondary to neuroleptic malignant syndrome (NMS). Through the NNDC, leading psychiatrists across the United States with expertise in electroconvulsive therapy (ECT) provided us with treatment strategies based on experience in our area of concern. This report describes our use of ECT to treat severe NMS in this patient with schizophrenia, utilizing the recommendations made by the NNDC's ECT experts concerning electrode position, number and frequency of treatments, and selection of anesthetic induction agents. This case report highlights the utility of expert consultation in the treatment of rare diseases and provides guidance on how to treat NMS in the intensive care unit setting.

AB - Our team at Emory University Hospital contacted experts at the National Network of Depression Centers (NNDC) for clinical guidance concerning a patient with schizophrenia hospitalized in the intensive care unit with a complex case of prolonged delirium secondary to neuroleptic malignant syndrome (NMS). Through the NNDC, leading psychiatrists across the United States with expertise in electroconvulsive therapy (ECT) provided us with treatment strategies based on experience in our area of concern. This report describes our use of ECT to treat severe NMS in this patient with schizophrenia, utilizing the recommendations made by the NNDC's ECT experts concerning electrode position, number and frequency of treatments, and selection of anesthetic induction agents. This case report highlights the utility of expert consultation in the treatment of rare diseases and provides guidance on how to treat NMS in the intensive care unit setting.

KW - electroconvulsive therapy

KW - etomidate

KW - National Network of Depression Centers (NNDC)

KW - neuroleptic malignant syndrome

KW - systems of care

UR - http://www.scopus.com/inward/record.url?scp=84994834762&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994834762&partnerID=8YFLogxK

U2 - 10.1097/PRA.0000000000000193

DO - 10.1097/PRA.0000000000000193

M3 - Article

C2 - 27824784

AN - SCOPUS:84994834762

VL - 22

SP - 484

EP - 489

JO - Journal of Psychiatric Practice

JF - Journal of Psychiatric Practice

SN - 1527-4160

IS - 6

ER -