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Case Reports in Psychiatry
Volume 2013, Article ID 840425, 4 pages
http://dx.doi.org/10.1155/2013/840425
Case Report

Delayed Onset and Prolonged ECT-Related Delirium

1Department of Psychiatry, Virginia Commonwealth University, P.O. Box 980710, Richmond, VA 23298, USA
2Department of Psychiatry, Virginia Commonwealth University, P.O. Box 980268, Richmond, VA 23298, USA

Received 18 June 2013; Accepted 4 August 2013

Academic Editors: E. Jönsson, C. Lançon, D. Matsuzawa, and J. Saiz-Ruiz

Copyright © 2013 Sameer Hassamal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Electroconvulsive therapy (ECT) is effective in the treatment of depression. Delayed post-ECT delirium is rare but can occur in a small subset of patients with risk factors and in most cases resolves with the use of psychotropic medications. We report a unique presentation of a patient who developed a delayed post-ECT delirium with fecal incontinence that commenced 24 hours after the administration of ECT. The condition resolved spontaneously after 48 hours without the use of psychotropic medications.