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Left anterior right temporal position and ultra-brief pulse stimulus in the management of ECT-induced mania.
Bipolar Disord
February 2022
Department of Psychiatry, Jimenez Diaz Foundation Hospital, Madrid, Spain.
Unusual Set of Adverse Effects During Right-Unilateral Ultrabrief Electroconvulsive Therapy Led to the Discovery of a Brain Tumor: A Case Report.
J ECT
March 2020
From the Department of Psychiatry, First Faculty of Medicine, Charles University and General University Hospital.
We describe a case of a right-handed, 42-year-old, Caucasian female patient who manifested a set of unusual adverse effects during maintenance ultrabrief right-unilateral electroconvulsive therapy (ECT)-generalized myoclonic secondary seizure with lateralization nonresponsive to repeated intravenous diazepam application, deviation of the tongue and the head to the left, ping-pong gaze with nystagmoid jerks, postictal hypoactive confusion state lasting 15 minutes (with a total time to recovery 30 minutes), and likely Todd's paralysis after the procedure (subsided within 24 hours). These adverse effects led to a thorough clinical investigation and eventually the discovery of a brain tumor. In the article, we hypothesize about the possible interaction between the intracranial mass and ECT and provide a literature overview on the topic.
View Article and Find Full Text PDFThe Use of Ultrabrief Left Unilateral Electroconvulsive Therapy in a Patient With Cerebral Aneurysms and Right-Sided Encephalomalacia and Stroke: A Case Report.
J ECT
December 2017
Interventional Psychiatry Division, Beacon Health System-Behavior Health, Indiana University School of Medicine-South Bend Campus, 707 N Michigan St, South Bend, IN 46601 Interventional Psychiatry Division, Beacon Health System-Behavior Health, South Bend, IN; and Department of Psychiatry, Mansoura University College of Medicine, Mansoura City, Egypt Interventional Psychiatry Division, Beacon Health System-Behavior Health. Indiana University School of Medicine, South Bend, IN.
Objective: Characterization of the ictal electroencephalogram (EEG) generated during ultrabrief pulse electroconvulsive therapy (ECT) is important to progress its use in routine ECT practice particularly in indicating treatment efficacy. The study compared 2- to 5-Hz and 5.2- to 13-Hz bands of the ictal EEG signal between brief- and ultrabrief-pulse ECT.
View Article and Find Full Text PDFAbnormal cingulate and prefrontal cortical neurochemistry in major depression after electroconvulsive therapy.
Biol Psychiatry
April 2011
Department of Psychiatry Charité-Universitätsmedizin, Campus Benjamin Franklin, Berlin, Germany.
Background: Metabolic changes after electroconvulsive therapy (ECT) have been described in depressed patients, but results are heterogeneous. To determine the concentrations of N-acetyl-aspartate (NAA), choline-containing compounds, creatine + phosphocreatine (tCr), and glutamate in the left dorsolateral prefrontal cortex (DLPFC) and left anterior cingulum of depressed patients before and after ECT, we used proton magnetic resonance spectroscopy.
Methods: Metabolite concentrations in the DLPFC and anterior cingulum were determined in 25 patients with major depressive disorder (MDD) and 27 healthy control subjects using the point resolved spectroscopy sequence.
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