TY - JOUR
T1 - Complicated Management of Mania in the Setting of Undiagnosed Obstructive Sleep Apnea
AU - Bastiampillai, Tarun
AU - Khor, Lynn
AU - Dhillon, Rohan
PY - 2011
Y1 - 2011
N2 - In this article, we describe the treatment of a patient with bipolar affective disorder, which was complicated by an underlying obstructive sleep apnea (OSA). The patient’s underlying OSA made pharmacological intervention complicated and actually led to respiratory failure. Moreover, her manic psychosis proved to be resistant to treatment. Eventually, electroconvulsive therapy (ECT) was effectively used to control her manic psychosis. This case highlights the importance of screening for OSA due to the complications of psychotropic medications in this context. The pre- and post-electroconvulsive therapy management in the setting of the comorbidity of bipolar affective disorder and OSA is also described as part of this case report.
AB - In this article, we describe the treatment of a patient with bipolar affective disorder, which was complicated by an underlying obstructive sleep apnea (OSA). The patient’s underlying OSA made pharmacological intervention complicated and actually led to respiratory failure. Moreover, her manic psychosis proved to be resistant to treatment. Eventually, electroconvulsive therapy (ECT) was effectively used to control her manic psychosis. This case highlights the importance of screening for OSA due to the complications of psychotropic medications in this context. The pre- and post-electroconvulsive therapy management in the setting of the comorbidity of bipolar affective disorder and OSA is also described as part of this case report.
KW - Antipsychotic medication
KW - Benzodiazepine
KW - Bipolar disorder
KW - Obstructive sleep apnea
UR - http://journals.lww.com/ectjournal/pages/articleviewer.aspx?year=2011&issue=03000&article=00035&type=abstract
UR - http://www.scopus.com/inward/record.url?scp=79952192351&partnerID=8YFLogxK
U2 - 10.1097/YCT.0b013e3181dd7c82
DO - 10.1097/YCT.0b013e3181dd7c82
M3 - Letter
SN - 1095-0680
VL - 27
SP - e15-e16
JO - JOURNAL OF ECT
JF - JOURNAL OF ECT
IS - 1
ER -