The treatment of choice for acute schizophrenia is antipsychotic drug treatment and electroconvulsive therapy (ECT) and should
only be considered as an option for treatment-resistant schizophrenia, where treatment with clozapine has already proven
ineffective or intolerable. The use of ECT as a maintenance treatment for patients with schizophrenia and comorbid epilepsy
is uncommon as scant evidence exists to support this. We describe a patient with a serious case of paranoid schizophrenia and
comorbid epilepsy who had not responded to typical and atypical antipsychotic medication, but responded remarkably to acute
ECT and required maintenance ECT to sustain a positive therapeutic response.