{"id":"https://openalex.org/W7224908757","doi":"https://doi.org/10.1155/crps/9267185","title":"Electroconvulsive Therapy for Life\u2010Threatening Refractory Hypoactive Delirium in an 87\u2010Year\u2010Old Patient: A Case Report","display_name":"Electroconvulsive Therapy for Life\u2010Threatening Refractory Hypoactive Delirium in an 87\u2010Year\u2010Old Patient: A Case Report","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7224908757","doi":"https://doi.org/10.1155/crps/9267185","pmid":"https://pubmed.ncbi.nlm.nih.gov/42964742","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13721894"},"language":"en","primary_location":{"id":"doi:10.1155/crps/9267185","doi":"https://doi.org/10.1155/crps/9267185","is_oa":true,"landing_page_url":"https://doi.org/10.1155/crps/9267185","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/crps/9267185","source":{"id":"https://openalex.org/S2764982644","display_name":"Case Reports in Psychiatry","issn_l":"2090-682X","issn":["2090-682X","2090-6838"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/crps/9267185","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160162151","display_name":"Henri Perrin","orcid":"https://orcid.org/0009-0005-6436-5134","observed_orcids":["https://orcid.org/0009-0005-6436-5134"]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":true,"raw_author_name":"Henri Perrin","raw_affiliation_strings":["Geriatrics Unit Department of Internal Medicine Lausanne University Hospital (CHUV) University of Lausanne  Lausanne Switzerland  unil.ch","Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch"],"raw_orcid":"https://orcid.org/0009-0005-6436-5134","affiliations":[{"raw_affiliation_string":"Geriatrics Unit Department of Internal Medicine Lausanne University Hospital (CHUV) University of Lausanne  Lausanne Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]},{"raw_affiliation_string":"Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160203772","display_name":"Joao de Sousa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Joao de Sousa","raw_affiliation_strings":["Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016120883","display_name":"Patrizia D\u2019Amelio","orcid":"https://orcid.org/0000-0002-4467-8337","observed_orcids":["https://orcid.org/0000-0002-4467-8337"]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Patrizia d\u2019Amelio","raw_affiliation_strings":["Geriatrics Unit Department of Internal Medicine Lausanne University Hospital (CHUV) University of Lausanne  Lausanne Switzerland  unil.ch"],"raw_orcid":"https://orcid.org/0000-0002-4467-8337","affiliations":[{"raw_affiliation_string":"Geriatrics Unit Department of Internal Medicine Lausanne University Hospital (CHUV) University of Lausanne  Lausanne Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005360791","display_name":"Pierre Vandel","orcid":"https://orcid.org/0000-0002-0189-8364","observed_orcids":["https://orcid.org/0000-0002-0189-8364"]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Pierre Vandel","raw_affiliation_strings":["Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch"],"raw_orcid":"https://orcid.org/0000-0002-0189-8364","affiliations":[{"raw_affiliation_string":"Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047513136","display_name":"Armin von Gunten","orcid":"https://orcid.org/0000-0001-7852-3803","observed_orcids":["https://orcid.org/0000-0001-7852-3803"]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Armin von Gunten","raw_affiliation_strings":["Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch"],"raw_orcid":"https://orcid.org/0000-0001-7852-3803","affiliations":[{"raw_affiliation_string":"Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034056081","display_name":"Kevin Swierkosz-Lenart","orcid":"https://orcid.org/0009-0002-1809-5311","observed_orcids":["https://orcid.org/0009-0002-1809-5311"]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Kevin Swierkosz-Lenart","raw_affiliation_strings":["Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch"],"raw_orcid":"https://orcid.org/0009-0002-1809-5311","affiliations":[{"raw_affiliation_string":"Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5038855821","display_name":"Beatriz Pozuelo Moyano","orcid":"https://orcid.org/0009-0001-1246-8490","observed_orcids":["https://orcid.org/0009-0001-1246-8490"]},"institutions":[{"id":"https://openalex.org/I2802229882","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079","country_code":"CH","type":"healthcare","lineage":["https://openalex.org/I2802229882"]},{"id":"https://openalex.org/I97565354","display_name":"University of Lausanne","ror":"https://ror.org/019whta54","country_code":"CH","type":"education","lineage":["https://openalex.org/I97565354"]}],"countries":["CH"],"is_corresponding":false,"raw_author_name":"Beatriz Pozuelo Moyano","raw_affiliation_strings":["Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch"],"raw_orcid":"https://orcid.org/0009-0001-1246-8490","affiliations":[{"raw_affiliation_string":"Service of Old-Age Psychiatry Department of Psychiatry Lausanne University Hospital (CHUV) University of Lausanne  Prilly Switzerland  unil.ch","institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5160162151"],"corresponding_institution_ids":["https://openalex.org/I2802229882","https://openalex.org/I97565354"],"apc_list":{"value":790,"currency":"USD","value_usd":790},"apc_paid":{"value":790,"currency":"USD","value_usd":790},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.84036462,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2026","issue":"1","first_page":"9267185","last_page":"9267185"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11921","display_name":"Electroconvulsive Therapy Studies","score":0.7621999979019165,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11921","display_name":"Electroconvulsive Therapy Studies","score":0.7621999979019165,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10867","display_name":"Intensive Care Unit Cognitive Disorders","score":0.23319999873638153,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12494","display_name":"Alcoholism and Thiamine Deficiency","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electroconvulsive-therapy","display_name":"electroconvulsive therapy","score":0.9480000138282776},{"id":"https://openalex.org/keywords/schizoaffective-disorder","display_name":"schizoaffective disorder","score":0.8820000290870667},{"id":"https://openalex.org/keywords/major-neurocognitive-disorder","display_name":"major neurocognitive disorder","score":0.9449999928474426},{"id":"https://openalex.org/keywords/dehydration","display_name":"dehydration","score":0.8429999947547913},{"id":"https://openalex.org/keywords/electrolyte-imbalance","display_name":"electrolyte imbalance","score":0.9559999704360962},{"id":"https://openalex.org/keywords/psychomotor-inhibition","display_name":"psychomotor inhibition","score":0.5979999899864197},{"id":"https://openalex.org/keywords/rescue-interventions","display_name":"rescue interventions","score":0.5440000295639038},{"id":"https://openalex.org/keywords/treatment-escalation","display_name":"treatment escalation","score":0.3330000042915344}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8931000232696533},{"id":"https://openalex.org/C2779753318","wikidata":"https://www.wikidata.org/wiki/Q160796","display_name":"Delirium","level":2,"score":0.8133999705314636},{"id":"https://openalex.org/C2777330709","wikidata":"https://www.wikidata.org/wiki/Q131543","display_name":"Electroconvulsive therapy","level":3,"score":0.6722999811172485},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.5813000202178955},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5339000225067139},{"id":"https://openalex.org/C172467417","wikidata":"https://www.wikidata.org/wiki/Q1670397","display_name":"Neurocognitive","level":3,"score":0.48570001125335693},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4819999933242798},{"id":"https://openalex.org/C2776973423","wikidata":"https://www.wikidata.org/wiki/Q360341","display_name":"Organic mental disorders","level":3,"score":0.38580000400543213},{"id":"https://openalex.org/C2778541603","wikidata":"https://www.wikidata.org/wiki/Q152763","display_name":"Lithium (medication)","level":2,"score":0.3091000020503998},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3075999915599823},{"id":"https://openalex.org/C2778941822","wikidata":"https://www.wikidata.org/wiki/Q501571","display_name":"Catatonia","level":3,"score":0.3061999976634979},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.26840001344680786},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.2578999996185303},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.25519999861717224}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1155/crps/9267185","doi":"https://doi.org/10.1155/crps/9267185","is_oa":true,"landing_page_url":"https://doi.org/10.1155/crps/9267185","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/crps/9267185","source":{"id":"https://openalex.org/S2764982644","display_name":"Case Reports in Psychiatry","issn_l":"2090-682X","issn":["2090-682X","2090-6838"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Psychiatry","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13721894","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13721894/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13721894/pdf/CRPS-2026-9267185.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Rep Psychiatry","raw_type":"Text"},{"id":"pmid:42964742","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42964742","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case reports in psychiatry","raw_type":"Journal Article"},{"id":"pmh:oai:iris.unil.ch:iris/286196","doi":null,"is_oa":false,"landing_page_url":"https://iris.unil.ch/handle/iris/286196","pdf_url":null,"source":{"id":"https://openalex.org/S7407055444","display_name":"IRIS","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"}],"best_oa_location":{"id":"doi:10.1155/crps/9267185","doi":"https://doi.org/10.1155/crps/9267185","is_oa":true,"landing_page_url":"https://doi.org/10.1155/crps/9267185","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/crps/9267185","source":{"id":"https://openalex.org/S2764982644","display_name":"Case Reports in Psychiatry","issn_l":"2090-682X","issn":["2090-682X","2090-6838"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319869","host_organization_name":"Hindawi Publishing Corporation","host_organization_lineage":["https://openalex.org/P4310319869","https://openalex.org/P4310320595"],"host_organization_lineage_names":["Hindawi Publishing Corporation","Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Case Reports in Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320323831","display_name":"Universit\u00e9 de Lausanne","ror":"https://ror.org/019whta54"},{"id":"https://openalex.org/F4320323833","display_name":"Centre Hospitalier Universitaire Vaudois","ror":"https://ror.org/05a353079"},{"id":"https://openalex.org/F5977928789","display_name":"Facult\u00e9 de Biologie et de M\u00e9decine, Universit\u00e9 de Lausanne","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224908757.pdf","grobid_xml":"https://content.openalex.org/works/W7224908757.grobid-xml"},"referenced_works_count":13,"referenced_works":["https://openalex.org/W2064531284","https://openalex.org/W2081033553","https://openalex.org/W2090911922","https://openalex.org/W2092282228","https://openalex.org/W2141710162","https://openalex.org/W2758691497","https://openalex.org/W2945599908","https://openalex.org/W3012978629","https://openalex.org/W4281687410","https://openalex.org/W4292986694","https://openalex.org/W4376225553","https://openalex.org/W4403306946","https://openalex.org/W4406038809"],"related_works":["https://openalex.org/W2401880100","https://openalex.org/W1990181626","https://openalex.org/W265795786","https://openalex.org/W1660303504","https://openalex.org/W7214216959","https://openalex.org/W4291022627","https://openalex.org/W2033674014","https://openalex.org/W1963949829","https://openalex.org/W4224326146","https://openalex.org/W2076064451"],"abstract_inverted_index":{"Delirium":[0],"is":[1,12,20,53],"a":[2,169],"frequent":[3],"and":[4,11,23,46,64,83,91,103,107,114,121,147,179,187],"serious":[5],"neuropsychiatric":[6],"syndrome":[7],"in":[8,73,172],"older":[9],"inpatients":[10],"associated":[13],"with":[14,61,142],"severe":[15],"negative":[16],"outcomes.":[17],"Hypoactive":[18],"delirium":[19,43,72,145,178],"often":[21],"underdiagnosed":[22],"may":[24,165],"become":[25],"life-threatening":[26,175],"when":[27],"accompanied":[28],"by":[29],"sustained":[30],"refusal":[31,104],"of":[32,39,49,76,85,88,93,105,144,149,174],"oral":[33,150],"intake.":[34],"Evidence":[35],"for":[36,183],"pharmacological":[37],"treatment":[38,84],"persistent":[40],"or":[41],"refractory":[42,70,176],"remains":[44],"limited,":[45],"the":[47,74,139,181],"role":[48],"electroconvulsive":[50],"therapy":[51],"(ECT)":[52],"poorly":[54],"defined.":[55],"We":[56],"report":[57],"an":[58],"87-year-old":[59],"woman":[60],"both":[62],"schizoaffective":[63],"major":[65],"neurocognitive":[66],"disorder":[67],"who":[68],"developed":[69],"hypoactive":[71,177],"context":[75],"multiple":[77],"medical":[78,119],"precipitants.":[79],"Despite":[80],"systematic":[81],"identification":[82],"precipitants,":[86],"correction":[87],"metabolic":[89],"disturbances,":[90],"optimization":[92],"psychotropic":[94],"medication,":[95],"she":[96],"continued":[97],"to":[98,110,123],"exhibit":[99],"marked":[100],"psychomotor":[101],"inhibition":[102],"food":[106],"fluids,":[108],"leading":[109],"clinically":[111],"significant":[112],"dehydration":[113],"electrolyte":[115],"abnormalities.":[116],"Given":[117],"imminent":[118],"risk":[120],"refractoriness":[122],"standard":[124],"management,":[125],"ECT":[126,164],"was":[127,136],"initiated":[128],"twice":[129],"weekly":[130],"after":[131,138,152],"multidisciplinary":[132],"evaluation.":[133],"Clinical":[134],"improvement":[135],"observed":[137],"first":[140],"session,":[141],"resolution":[143],"features":[146],"restoration":[148],"intake":[151],"three":[153],"sessions,":[154],"without":[155],"periprocedural":[156],"complications.":[157],"This":[158],"case":[159],"suggests":[160],"that":[161],"carefully":[162],"monitored":[163],"be":[166],"considered":[167],"as":[168],"rescue":[170],"intervention":[171],"cases":[173],"underscores":[180],"need":[182],"clearer":[184],"escalation":[185],"guidance":[186],"higher-quality":[188],"evidence.":[189]},"counts_by_year":[],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2026-10-31T00:00:00"}