| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
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|
タイトル |
A Case of Lewy Body Dementia in Which Caffeine Loading Provided Effective Electroconvulsive Therapy |
|
言語 |
en |
| 言語 |
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|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Lewy body dementia |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Caffeine |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Electroconvulsive therapy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Nagai, Yuki
Kikuchi, Kota
Owada, Tamaki
Sasaki, Taro
Sato, Yoshiteru
Yasui-Furukori, Norio
|
| bibliographic_information |
en : Dokkyo Medical Journal
巻 4,
号 1,
p. 84-87,
発行日 2025-03-25
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| item_10001_text_33 |
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|
Case Report |
| 内容記述 |
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内容記述タイプ |
Abstract |
|
内容記述 |
The patient initially presented at age 86 with memory loss, hallucinations, and violent behavior, including physical aggression toward her husband. Two years prior to hospitalization, she had physical symptoms such as resting tremor and gait disturbance. Despite a diagnosis of unspecified cognitive decline and treatment with quetiapine (increased to 150 mg), her condition worsened, leading to admission to the psychiatric ward. Standard diagnostic procedures, including brain dopamine transporter scintigraphy, confirmed probable dementia with Lewy bodies (DLB). Her aggressive behavior, including physical assault on staff, continued. Traditional treatments, including increased doses of antipsychotics and electroconvulsive therapy (ECT), were initially ineffective. In particular, ECT failed to effectively induce seizures, a common challenge in elderly patients with DLB due to altered electrical activity in the brain. A breakthrough in treatment came with the preoperative administration of 500 mg of caffeine, which effectively eased seizures during ECT. Taken together, these findings indicate that while ECT may be effective at treating DLB symptoms, its efficacy is still uncertain. Thus, individualized approaches, such as preoperative caffeine administration, may be necessary. |
|
言語 |
en |
| 出版者 |
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|
出版者 |
Dokkyo Medical Society |
| item_10001_source_id_9 |
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収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| item_10001_source_id_11 |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA12941861 |
| item_10001_relation_14 |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.51040/dkmj.2024-005 |
| 出版タイプ |
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|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-1-10.pdf (295 KB)
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