Delayed post-ECT delirium can present uniquely with fecal incontinence and may resolve spontaneously without psychotropic medications.
Clinicians should recognize rare delayed post-ECT delirium presentations; this case report leaves open incidence, mechanisms, and management needs.
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.
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Hassamal et al. (2013) studied this question.
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