A young man is presented who developed an akinetic-rigid syndrome shor
tly after a minor illness. Rituals and stereoptypies were prominent. A
t its most severe he was unable to feed himself There was no response
to L-dopa/cardopa treatment. A course of ECT was followed by a marked
improve ment in his condition. Attempts to stop ECT for more than a we
ek have led to recurrence of his bradykinesia.