ECT in the Treatment of Status Epilepticus
INTRODUCTIONOwing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders. METHODWe review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a...
Gespeichert in:
| Veröffentlicht in: | The journal of ECT 2001-09, Vol.17 (3), p.210-215 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 215 |
|---|---|
| container_issue | 3 |
| container_start_page | 210 |
| container_title | The journal of ECT |
| container_volume | 17 |
| creator | Lisanby, Sarah H Bazil, Carl W Resor, Stanley R Nobler, Mitchell S Finck, Donald A Sackeim, Harold A |
| description | INTRODUCTIONOwing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders.
METHODWe review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a patient who was in nonconvulsive SE for 26 days and then treated with ECT after all standard pharmacological strategies were exhausted. Because of skull defects, a novel electrode placement was used.
RESULTSOwing to massively elevated seizure threshold attributable to concomitant anticonvulsant medications, extraordinarily high electrical dosage was needed for ECT to elicit generalized seizures. Status was terminated after three successful ECT-induced seizures. However, the long-term functional outcome of the patient was poor.
DISCUSSIONThe role of ECT in the treatment algorithm for SE is discussed. |
| doi_str_mv | 10.1097/00124509-200109000-00013 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71138871</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71138871</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4143-adbbeed9aeb200da586c80314ed2e8badc3c47c14dbdf3256828dde566e2263d3</originalsourceid><addsrcrecordid>eNp1kTtPwzAQgC0EoqXwF1AGxIAU8Nlx4oyoKg-pEgNlthz7ogbSJNiOEP8eQ8tjYTjdDd899B0hCdBLoGVxRSmwTNAyZbGiJaU0jQF8j0xBcJ5mAGw_1rQUKc0lnZAj758jUXCeH5IJgGCSg5iSi8V8lTRdEtaYrBzqsMEuJH2dPAYdRp8shqbFITRm9MfkoNatx5NdnpGnm8VqfpcuH27v59fL1GSQ8VTbqkK0pcYqXme1kLmRlEOGlqGstDXcZIWBzFa25kzkkklrUeQ5MpZzy2fkfDt3cP3riD6oTeMNtq3usB-9KgC4lAVEUG5B43rvHdZqcM1Gu3cFVH16Ut-e1I8n9eUptp7udozVBu1v405MBM52gPZGt7XTnWn8H44XIGTEsi321rcBnX9pxzd0ao26DWv135v4B4F5fdc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71138871</pqid></control><display><type>article</type><title>ECT in the Treatment of Status Epilepticus</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Lisanby, Sarah H ; Bazil, Carl W ; Resor, Stanley R ; Nobler, Mitchell S ; Finck, Donald A ; Sackeim, Harold A</creator><creatorcontrib>Lisanby, Sarah H ; Bazil, Carl W ; Resor, Stanley R ; Nobler, Mitchell S ; Finck, Donald A ; Sackeim, Harold A</creatorcontrib><description>INTRODUCTIONOwing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders.
METHODWe review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a patient who was in nonconvulsive SE for 26 days and then treated with ECT after all standard pharmacological strategies were exhausted. Because of skull defects, a novel electrode placement was used.
RESULTSOwing to massively elevated seizure threshold attributable to concomitant anticonvulsant medications, extraordinarily high electrical dosage was needed for ECT to elicit generalized seizures. Status was terminated after three successful ECT-induced seizures. However, the long-term functional outcome of the patient was poor.
DISCUSSIONThe role of ECT in the treatment algorithm for SE is discussed.</description><identifier>ISSN: 1095-0680</identifier><identifier>EISSN: 1533-4112</identifier><identifier>DOI: 10.1097/00124509-200109000-00013</identifier><identifier>PMID: 11528315</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Algorithms ; Anticonvulsants - pharmacology ; Biological and medical sciences ; Drug Resistance ; Electroconvulsive Therapy ; Electrodes ; Humans ; Male ; Medical sciences ; Prognosis ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Recurrence ; Skull - abnormalities ; Status Epilepticus - therapy ; Treatment Outcome ; Treatments</subject><ispartof>The journal of ECT, 2001-09, Vol.17 (3), p.210-215</ispartof><rights>2001 Lippincott Williams & Wilkins, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4143-adbbeed9aeb200da586c80314ed2e8badc3c47c14dbdf3256828dde566e2263d3</citedby><cites>FETCH-LOGICAL-c4143-adbbeed9aeb200da586c80314ed2e8badc3c47c14dbdf3256828dde566e2263d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1137158$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11528315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lisanby, Sarah H</creatorcontrib><creatorcontrib>Bazil, Carl W</creatorcontrib><creatorcontrib>Resor, Stanley R</creatorcontrib><creatorcontrib>Nobler, Mitchell S</creatorcontrib><creatorcontrib>Finck, Donald A</creatorcontrib><creatorcontrib>Sackeim, Harold A</creatorcontrib><title>ECT in the Treatment of Status Epilepticus</title><title>The journal of ECT</title><addtitle>J ECT</addtitle><description>INTRODUCTIONOwing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders.
METHODWe review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a patient who was in nonconvulsive SE for 26 days and then treated with ECT after all standard pharmacological strategies were exhausted. Because of skull defects, a novel electrode placement was used.
RESULTSOwing to massively elevated seizure threshold attributable to concomitant anticonvulsant medications, extraordinarily high electrical dosage was needed for ECT to elicit generalized seizures. Status was terminated after three successful ECT-induced seizures. However, the long-term functional outcome of the patient was poor.
DISCUSSIONThe role of ECT in the treatment algorithm for SE is discussed.</description><subject>Adult</subject><subject>Algorithms</subject><subject>Anticonvulsants - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Drug Resistance</subject><subject>Electroconvulsive Therapy</subject><subject>Electrodes</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Prognosis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Recurrence</subject><subject>Skull - abnormalities</subject><subject>Status Epilepticus - therapy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>1095-0680</issn><issn>1533-4112</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kTtPwzAQgC0EoqXwF1AGxIAU8Nlx4oyoKg-pEgNlthz7ogbSJNiOEP8eQ8tjYTjdDd899B0hCdBLoGVxRSmwTNAyZbGiJaU0jQF8j0xBcJ5mAGw_1rQUKc0lnZAj758jUXCeH5IJgGCSg5iSi8V8lTRdEtaYrBzqsMEuJH2dPAYdRp8shqbFITRm9MfkoNatx5NdnpGnm8VqfpcuH27v59fL1GSQ8VTbqkK0pcYqXme1kLmRlEOGlqGstDXcZIWBzFa25kzkkklrUeQ5MpZzy2fkfDt3cP3riD6oTeMNtq3usB-9KgC4lAVEUG5B43rvHdZqcM1Gu3cFVH16Ut-e1I8n9eUptp7udozVBu1v405MBM52gPZGt7XTnWn8H44XIGTEsi321rcBnX9pxzd0ao26DWv135v4B4F5fdc</recordid><startdate>200109</startdate><enddate>200109</enddate><creator>Lisanby, Sarah H</creator><creator>Bazil, Carl W</creator><creator>Resor, Stanley R</creator><creator>Nobler, Mitchell S</creator><creator>Finck, Donald A</creator><creator>Sackeim, Harold A</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams and Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200109</creationdate><title>ECT in the Treatment of Status Epilepticus</title><author>Lisanby, Sarah H ; Bazil, Carl W ; Resor, Stanley R ; Nobler, Mitchell S ; Finck, Donald A ; Sackeim, Harold A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4143-adbbeed9aeb200da586c80314ed2e8badc3c47c14dbdf3256828dde566e2263d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Algorithms</topic><topic>Anticonvulsants - pharmacology</topic><topic>Biological and medical sciences</topic><topic>Drug Resistance</topic><topic>Electroconvulsive Therapy</topic><topic>Electrodes</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Prognosis</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Recurrence</topic><topic>Skull - abnormalities</topic><topic>Status Epilepticus - therapy</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lisanby, Sarah H</creatorcontrib><creatorcontrib>Bazil, Carl W</creatorcontrib><creatorcontrib>Resor, Stanley R</creatorcontrib><creatorcontrib>Nobler, Mitchell S</creatorcontrib><creatorcontrib>Finck, Donald A</creatorcontrib><creatorcontrib>Sackeim, Harold A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of ECT</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lisanby, Sarah H</au><au>Bazil, Carl W</au><au>Resor, Stanley R</au><au>Nobler, Mitchell S</au><au>Finck, Donald A</au><au>Sackeim, Harold A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>ECT in the Treatment of Status Epilepticus</atitle><jtitle>The journal of ECT</jtitle><addtitle>J ECT</addtitle><date>2001-09</date><risdate>2001</risdate><volume>17</volume><issue>3</issue><spage>210</spage><epage>215</epage><pages>210-215</pages><issn>1095-0680</issn><eissn>1533-4112</eissn><abstract>INTRODUCTIONOwing to its potent anticonvulsant actions, electroconvulsive therapy (ECT) has been proposed as an intervention for treatment-resistant seizure disorders.
METHODWe review the literature on the use of ECT in treatment-resistant epilepsy and status epilepticus (SE) and present a case of a patient who was in nonconvulsive SE for 26 days and then treated with ECT after all standard pharmacological strategies were exhausted. Because of skull defects, a novel electrode placement was used.
RESULTSOwing to massively elevated seizure threshold attributable to concomitant anticonvulsant medications, extraordinarily high electrical dosage was needed for ECT to elicit generalized seizures. Status was terminated after three successful ECT-induced seizures. However, the long-term functional outcome of the patient was poor.
DISCUSSIONThe role of ECT in the treatment algorithm for SE is discussed.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11528315</pmid><doi>10.1097/00124509-200109000-00013</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1095-0680 |
| ispartof | The journal of ECT, 2001-09, Vol.17 (3), p.210-215 |
| issn | 1095-0680 1533-4112 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71138871 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Algorithms Anticonvulsants - pharmacology Biological and medical sciences Drug Resistance Electroconvulsive Therapy Electrodes Humans Male Medical sciences Prognosis Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Recurrence Skull - abnormalities Status Epilepticus - therapy Treatment Outcome Treatments |
| title | ECT in the Treatment of Status Epilepticus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T01%3A05%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=ECT%20in%20the%20Treatment%20of%20Status%20Epilepticus&rft.jtitle=The%20journal%20of%20ECT&rft.au=Lisanby,%20Sarah%20H&rft.date=2001-09&rft.volume=17&rft.issue=3&rft.spage=210&rft.epage=215&rft.pages=210-215&rft.issn=1095-0680&rft.eissn=1533-4112&rft_id=info:doi/10.1097/00124509-200109000-00013&rft_dat=%3Cproquest_cross%3E71138871%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71138871&rft_id=info:pmid/11528315&rfr_iscdi=true |