Andrew Francis

Andrew Francis

Department of Psychiatry and Behavioral Sciences, SUNY at Stony Brook, Stony Brook, New York, U.S.A. | From the Department of Psychiatry and Behavioral Sciences, State ...

KOL Resume for Andrew Francis  (electroshock, failed, electroshock, therapy, insulin, shock, failure)


Department of Psychiatry and Behavioral Sciences, SUNY at Stony Brook, Stony Brook, New York, U.S.A.


From the Department of Psychiatry and Behavioral Sciences, State University of New York at Stony Brook, Stony Brook; and Department of Psychiatry, Albert Einstein College of Medicine, and the Long Island Jewish Hillside Hospital Medical Center, Glen Oaks, NY.

Department of Psychiatry, Research Division, Hillside Hospital, Long Island Jewish Medical Center, Glen Oaks, NY, USA


Department of Psychiatry, Northport Veterans Affairs Medical Center, Northport, NY, USA


Departments of Psychiatry and Behavioral Sciences and Anesthesiology, University Hospital, Stony Brook School of Medicine, SUNY at Stony Brook, Stony Brook, NY, U.S.A.

Department of Psychiatry and Behavioral Sciences, Health Sciences Center T-10, SUNY Stony Brook, Stone Brook, NY 11794-8101, USA


Department of Psychiatry Health Sciences Center T-10, SUNY Stony Brook, 11794, Stony Brook, NY, USA


Department of Psychiatry and Behavioral Sciences, SUNY Stony Brook, 11794, Stony Brook, NY, USA


Department of Psychiatry and Behavioral Sciences, State University of New York, Stony Brook, New York, USA.


Prominent publications by Andrew Francis

KOL Index score: 11460

Emergence of catatonia during electroconvulsive therapy (ECT) is unexpected, as catatonia responds well to ECT. We report four cases with onset of catatonia during ECT. Four inpatients with affective disorders (three without prior catatonia) developed catatonia by Bush-Francis criteria during a course of ECT. All four patients had been taking benzodiazepines, which were stopped 5-15 days before ECT. Two became catatonic after ECT no. 4, one after ECT no. 1, and one after ECT no. 10. The ...

Known for Catatonia Ect |  Adult Benzodiazepines |  Depressive Disorder |  Bush Francis
KOL Index score: 10023

Case material and retrospective studies support the use of both lorazepam and ECT in treating catatonia, but few prospective investigations exist and none employ quantitative monitoring of response. In this study we test their efficacy in an open, prospective protocol, and define a "lorazepam test' with predictive value for treatment. Twenty-eight patients with catatonia were treated systematically with parenteral and/or oral lorazepam for up to 5 days, and with ECT if lorazepam failed. ...

Known for Lorazepam Ect |  Catatonia Treatment |  Rating Scale |  Catatonic Symptoms |  21 Patients
KOL Index score: 7423

Electroconvulsive therapy (ECT) and lorazepam are effective treatments for catatonia. ECT combined with benzodiazepines has been associated with reduced efficacy and efficiency and therefore is not recommended in the routine practice of ECT. We report 5 prospectively identified cases of catatonia treated either sequentially or concurrently with lorazepam and ECT. In each case, the combination of lorazepam with ECT was superior to monotherapy. This apparent synergism, its possible ...

Known for Electroconvulsive Therapy |  Catatonia Ect |  Combination Lorazepam |  Modulators Humans |  Female Gaba
KOL Index score: 7254

OBJECTIVE AND BACKGROUND: Electroconvulsive therapy (ECT) is highly effective for acute catatonia but its use in prolonged catatonia is not well established. We report three cases of prolonged catatonia with medical complications or comorbidities treated by ECT.

METHOD: Case reports.

RESULTS: A 24 year-old woman developed fever and autonomic instability after parenteral neuroleptics. Catatonia and autonomic signs persisted for 14 weeks. After minimal improvement from lorazepam, 15 ...

Known for Prolonged Catatonia |  Electroconvulsive Therapy Ect |  Lupus Erythematosus |  Mental Retardation |  Malignant Syndrome
KOL Index score: 6011

BACKGROUND: To determine the motor characteristics of chronic catatonia, catatonia and other motor disorders were systematically rated in a long-term hospitalized sample.

METHOD: Chronically hospitalized psychiatric inpatients (N = 42) with a clinical diagnosis of catatonic schizophrenia (295.2X) were rated for catatonia with a novel 23-item catatonia rating scale, and for parkinsonism, dyskinesia and akathisia using standard rating scales with scale-based criteria for case ...

Known for Parkinsonism Dyskinesia |  Catatonic Schizophrenia |  Rating Scales |  Catatonia Chronic |  Motor Disorders
KOL Index score: 5437

The study assessed catatonic signs in neuroleptic malignant syndrome (NMS). Records of inpatients meeting both stringent research criteria and DSM-IV criteria (n = 11) or only DSM-IV criteria (n = 5) for NMS were identified. The records were systematically rated on a 23-item rating scale for the presence of catatonic signs. Scores for NMS severity were related to the number of catatonic signs. Fifteen patients met both research criteria for catatonia and DSM-IV motor criteria for organic ...

Known for Catatonic Signs |  Neuroleptic Malignant Syndrome |  Nms Records |  Organic Catatonia |  Stringent Criteria
KOL Index score: 4371

The authors assessed the ability of lorazepam and other benzodiazepines to affect the course of neuroleptic malignant syndrome (NMS). Records of inpatients who met both stringent research criteria and criteria under the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, (DSM-IV) (n=11) or DSM-IV criteria alone (n=5) for NMS were identified. All received lorazepam or related benzodiazepines within 24 hours of NMS onset or hospital admission. The records were reviewed ...

Known for Neuroleptic Malignant Syndrome |  Nms Lorazepam |  24 Hours |  Mental Disorders |  Rigidity Fever
KOL Index score: 4332

Caffeine has been used clinically to increase seizure length in electroconvulsive treatment (ECT). The present study was designed to establish an animal model of caffeine-augmented seizures for further study of mechanisms and effects of pharmacological manipulation of seizure length. Increasing doses of caffeine (0–200 mg/kg, IP) were given before electroconvulsive stimulation (ECS) in rats and resulting seizure lengths were quantified by timing of classical tonic-clonic convulsive ...

Known for Electroconvulsive Seizures |  Seizure Length |  Proconvulsant Action |  Animal Model |  Tonic Clonic
KOL Index score: 4095

STUDY OBJECTIVE: To ascertain the optimal dose of trimethaphan camsylate administered by intravenous (i.v.) bolus injection for the control of hypertension and tachycardia during electroconvulsive therapy (ECT).

DESIGN: Prospective, double blind, within-subject study.

SETTING: Treating room of the psychiatric unit of the University Hospital at Stony Brook, NY.

SUBJECTS: Patients undergoing ECT for major psychiatric illnesses.


Known for Electroconvulsive Therapy |  Blood Pressure |  Heart Rate |  Response Ect |  Systolic Diastolic
KOL Index score: 3979

This study examined the consistency of symptom profiles across episodes of catationia. A recently developed standardized examination and symptom scale systematically rates 23 motor signs of catatonia, permitting symptom analysis of recurrent illness. Patients from the emergency room or inpatient unit were prospectively examined using the 23-item Bush-Francis Catatonia Rating Scale (BFCRS), both on initial presentation and during a later episode of catatonia. Five cases were identified, ...

Known for Episode Catatonia |  Catatonic Signs |  Diagnosis Differential |  Scale Bfcrs |  Psychological Tests
KOL Index score: 3268

We define the catatonic syndrome and review the history of the concept of catatonia, including its recent acceptance as a syndrome. Diagnosis of the catatonic syndrome, with its associated extensive differential diagnoses related to systemic and mental disorders, is addressed. Catatonia is related to variants of the syndrome, such as lethal (malignant) catatonia and the neuroleptic malignant syndrome (NMS). Medical sequelae of these conditions are outlined. The literature on the ...

Known for Catatonic Syndrome |  Intensive Unit |  Catatonia Nms |  Recognition Treatment |  Neuroleptic Malignant
KOL Index score: 3094

A delirium presages a poor prognosis in hospitalized patients, but an incidental delirium is a feature of some psychiatric treatments. We report five cases in which delirium preceded the relief of affective and psychotic symptoms of a major mental illness. The experience stimulated a review of the literature on delirium in psychiatric treatments. Five inpatients (aged 53 to 69 years) with an exacerbation of chronic mental illness developed deliria from medications (n = 4) and electrolyte ...

Known for Incidental Delirium |  Electroconvulsive Therapy |  Antipsychotic Agents


Andrew Francis: Influence Statistics

Sample of concepts for which Andrew Francis is among the top experts in the world.
Concept World rank
acute catatonia ect #2
catatonia delirium diagnosis #2
catatonia prolonged #2
delirium catatonic disorder #2
ect prolonged #2
lorazepam minimal improvement #2
catatonia resolved #2
prolonged catatonia ect #2
minimal improvement catatonia #2
14 bilateral ects #2
ects led #2
improvement catatonia #2
parenteral neuroleptics #2
15 bilateral ects #2
improvement lorazepam #2
ect prolonged catatonia #2
ect acute catatonia #2
minimal improvement lorazepam #2
caffeine daily ecs #3
proconvulsant action caffeine #3
ect episodes #3
ect bushfrancis #3
scores nms severity #3
ecs antagonist #3
seizures wky #3
reduced proconvulsant action #3
rats postictal refractoriness #3
ecs refractoriness #3
8cyclopentyl13dipropylxanthine a2a antagonist #3
inpatients stringent criteria #3
appearance catatonia #3
electroconvulsive seizures variety #3
multiple catatonic signs #3
antagonism proconvulsant #3
emergence catatonia #3
nms lorazepam #3
weeks lorazepam #3
daily ecs antagonist #3
prior reports 10day #3
dsmiv criteria nms #3
ect received neuroleptics #3
spearman nms #3
series electroconvulsive seizures #3
reduced proconvulsant activity #3
nms spearman #3
reduced proconvulsant #3
prior catatonia catatonia #3
catatonic nms #3
ecs alters mechanisms #3
fever 2448 hours #3

Key People For Electroconvulsive Therapy

Top KOLs in the world
Harold A Sackeim
electroconvulsive therapy major depression vagus nerve stimulation
Joan M Prudic
electroconvulsive therapy major depression ect patients
Charles H Kellner
electroconvulsive therapy bipolar disorder major depression
Max Fink
electroconvulsive therapy melancholic features major depression
Georgios Petrides
electroconvulsive therapy bipolar disorder continuation ect
Devangere P Devanand
electroconvulsive therapy major depression alzheimer disease

Andrew Francis:Expert Impact

Concepts for whichAndrew Francishas direct influence:Electroconvulsive therapy,  Prolonged catatonia,  Rating scale,  Catatonic syndrome,  Catatonic signs,  Catatonia ect,  Electroconvulsive seizures,  Continuation ect.

Andrew Francis:KOL impact

Concepts related to the work of other authors for whichfor which Andrew Francis has influence:Electroconvulsive therapy,  Neuroleptic malignant syndrome,  Malignant catatonia,  Catatonic schizophrenia,  Delirious mania,  Bipolar disorder.



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Department of Psychiatry and Behavioral Sciences, SUNY at Stony Brook, Stony Brook, New York, U.S.A. | From the Department of Psychiatry and Behavioral Sciences, State University of New York at Stony Brook, Stony Brook; and Department of Psychiatry,

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