[Effectiveness of electroconvulsive therapy in the light of current approaches to the treatment of febrile conditions in schizophrenia]. / Effektivnost' élektrosudorozhnoi terapii v svete sovremennykh podkhodov k lecheniiu febril'nykh sostoianii shizofrenii.

The authors review febrile attacks of schizophrenia and the febrile period of the malignant neuroleptic syndrome in schizophrenia. Twenty-five schizophrenia patients were observed to establish the effect of the ECT on their status. The ECT was found to be highly effective in combination with intensive infusion therapy aimed at the correction of homeostasis. It was revealed that the prognosis and efficacy of the use of the ECT is determined by the stage of the development of febrile condition, the leading syndrome and the gravity of somatovegetative disorders. The use of the ECT was ineffective in cases where the development of a febrile attack reaches the level of amential dull consciousness.

[Use of electroconvulsive therapy for breaking the continual course of drug-resistant affective and schizoaffective psychoses]. / Primenenie élektrosudorozhnoi terapii dlia obryva kontinual'- nogo techeniia terapevticheski rezistentnykh affektivnogo i shizoaffektivnogo psikhozov.

To break continuous psychoses, the ECT (5 to 10 sessions daily or every other day) was given to 20 patients with affective and schizoaffective psychoses, who suffered not less than 3 affective cycles a year and were resistant to the preventive therapy with lithium carbonate or carbamazepine++ on condition they were used continuously for a year. After the ECT was completed the preventive therapy carried out before was resumed. It has been discovered that the mean value of the total duration of the affective symptomatology for a year and the mean number of affective episodes seen during a year dropped considerably. Complete "breaking" of continuous psychosis with formation of a steady remission lasting not less than 5 to 6 months could be attained in 8 patients including 3 out of 8 patients with "rapid cycling" phenomena. The breaking effect of the ECT was more probable in patients with no signs of organic CNS failure, less disease standing and less period of the continuous disease proper as well as in the presence of well-defined remissions between the episodes, predominance and greater intensity of the depressive cycles as compared to the manic ones. The use of the ECT which brought about "breaking" for the time being of the circular symptomatology enabled lithium to exhibit its normothymic stabilizing activity to a greater degree as compared to carbamazepine.

[Electroconvulsive therapy of trigeminal neuralgia]. / Elektrosudorozhnaia terapiia v lechenii bol'nykh nevralgiiami troinichnogo nerva.

The authors describe a new method of the treatment of patients with trigeminal neuralgias using electroconvulsive therapy. The method is based on the increase of beta-endorphin concentration as a result of electroconvulsive treatment. The treatment of 12 patients in accordance with the suggested method provided beneficial results and significant enhancement of the efficacy of therapy as compared to patients undergoing conventional treatment.

[Use of electroconvulsive therapy in resistant states of affective and schizoaffective structure within the framework of endogenous psychoses]. / Primenenie élektrosudorozhnoi terapii pri rezistentnykh sostoianiiakh affektivnoi i shizoaffektivnoi struktury v ramkakh éndogennykh psikhozov.

The effectiveness of electroconvulsive treatment (ECT) was studied in 80 patients with attacks of affective and schizoaffective structure and resistance or intolerance to psychopharmacotherapy. The best therapeutic effect was observed in patients with attack-like endogenous psychoses, including manic and expansive paraphrenic syndromes. The effectiveness of ECT was related to the peculiarities of attacks and their duration.