期刊
ASIAN JOURNAL OF PSYCHIATRY
卷 66, 期 -, 页码 -出版社
ELSEVIER
DOI: 10.1016/j.ajp.2021.102874
关键词
Electroconvulsive therapy (ECT); Prolonged seizure; Risk factor; Dosage relative to seizure threshold
类别
Limited literature exists on risk factors for prolonged seizures during electroconvulsive therapy, but adjusting to right unilateral ECT with a higher suprathreshold dose can allow for safe and effective continuation of treatment with reduced cognitive side effects.
Available literature remains limited in the identification of risk factors for prolonged seizures in electroconvulsive therapy and much less is reported about the continuation of electroconvulsive therapy after prolonged seizures. We describe two cases with prolonged seizures early in their course of electroconvulsive therapy and the subsequent adjustment made that allowed for safe and effective continuation of electroconvulsive therapy. In both cases, right unilateral electroconvulsive therapy was continued at a suprathreshold stimulus dose of six times relative to seizure threshold. Both patients continued their course of electroconvulsive therapy with no further episodes of prolonged seizures. They did not experience significant cognitive side effects and were discharged after showing marked improvement in their clinical symptoms. Prolonged seizures do not preclude the use of electroconvulsive therapy. The selection of ultrabrief right unilateral electroconvulsive therapy allows for a higher suprathreshold dose with less cognitive side effects compared to bilateral placements. This mitigates the risk of prolonged seizures, allowing for safe and effective continuation of electroconvulsive therapy.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据