論文

国際誌
2018年

Successful switch from bilateral brief pulse to right unilateral ultrabrief pulse electroconvulsive therapy after failure to induce seizures.

Neuropsychiatric disease and treatment
  • Hirotsugu Kawashima
  • ,
  • Yuko Kobayashi
  • ,
  • Taro Suwa
  • ,
  • Toshiya Murai
  • ,
  • Ryuichi Yoshioka

14
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
DOI
https://doi.org/10.2147/NDT.S160093
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29503544
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827465
ID情報
  • DOI : 10.2147/NDT.S160093
  • PubMed ID : 29503544
  • PubMed Central 記事ID : PMC5827465

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