2018年
Successful switch from bilateral brief pulse to right unilateral ultrabrief pulse electroconvulsive therapy after failure to induce seizures.
Neuropsychiatric disease and treatment
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- 巻
- 14
- 号
- 開始ページ
- 607
- 終了ページ
- 610
- 記述言語
- 英語
- 掲載種別
- DOI
- 10.2147/NDT.S160093
Inducing adequate therapeutic seizures during electroconvulsive therapy (ECT) is sometimes difficult due to a high seizure threshold, even at the maximum stimulus charge. Previous studies have demonstrated that seizure threshold is lower in patients treated with right unilateral ultrabrief pulse (RUL-UBP) ECT than in those treated with bilateral or brief pulse (BL-BP) ECT. Therefore, switching to RUL-UBP ECT may be beneficial for patients in whom seizure induction is difficult with conventional ECT. In the present report, we discuss the case of a patient suffering from catatonic schizophrenia in whom BL-BP ECT failed to induce seizures at the maximum charge. However, RUL-UBP ECT successfully elicited therapeutic seizures and enabled the patient to achieve complete remission. This case illustrates that, along with other augmentation strategies, RUL-UBP ECT represents an alternative for seizure induction in clinical practice.
- リンク情報
- ID情報
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- DOI : 10.2147/NDT.S160093
- PubMed ID : 29503544
- PubMed Central 記事ID : PMC5827465