Home Forums Care of the Elderly ECHO Dementia Series – Fall 2019 Session 03: Subtypes of Dementia

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    During the discussion, someone mentioned Electroconvulsive Therapy (ECT) as an option to manage the verbal outbursts (responsive behaviours) for a person with Parkinson’s Corticobasal Syndrome type dementia. Dr. Cindy Grief, a geriatric psychiatrist, did some research and had the following to say regarding ECT as treatment:

    There’s some emerging evidence for ECT used for treating agitation in dementia. It’s safe in Parkinson’s disease and there are cases for its use in PD + anxiety and depression. I have not found any evidence for specific conditions like FTD perse. There’s a case report for the treatment of frontotemporal dementia plus bipolar disorder. Bottom line is that the best evidence for FTD is Trazodone. ECT is last line option. There are just case reviews and case series. So probably worth a try if medicationss haven’t worked. No RCTs.

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